Mr William John Black, DDS in Antelope, CA - Medicare Dentist Provider

Mr William John Black, DDS is a medicare enrolled "Dentist - General Practice" provider in Antelope, California. His current practice location is 2925 Elverta Rd, Antelope, California. You can reach out to his office (for appointments etc.) via phone at (916) 331-6288.

Mr William John Black is licensed to practice in California (license number 40140) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043251176.

Contact Information

	Mr William John Black, DDS
	2925 Elverta Rd, Antelope, CA 95843-9106
	(916) 331-6288
	(916) 331-0760

Healthcare Provider's Profile

Full Name	Mr William John Black
Gender	Male
Speciality	Dentist - General Practice
Location	2925 Elverta Rd, Antelope, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043251176
Provider Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5395053508
Enrollment ID: I20151007001450

Medical Identifiers

Medical identifiers for Mr William John Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043251176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	40140 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr William John Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr William John Black, DDS 2925 Elverta Rd, Antelope, CA 95843-9106 Ph: (916) 331-6288	Mr William John Black, DDS 2925 Elverta Rd, Antelope, CA 95843-9106 Ph: (916) 331-6288

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Dentist in Antelope, CA

Mr. Vimal Amral Dulabh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3535 Elverta Rd, Suite E, Antelope, CA 95843 Phone: 916-349-9990 Fax: 916-349-9991
Simran Kaur, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7833 Scheidler Way, Antelope, CA 95843 Phone: 916-799-5370
Sze Wing Ng, DMD Dentist Medicare: Medicare Enrolled Practice Location: 8008 Walerga Rd Ste 100, Antelope, CA 95843 Phone: 916-725-4530
Elena Dmitrieva, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8008 Walerga Rd Ste 100, Antelope, CA 95843 Phone: 916-725-4530
Dr. Sukhmani Kaur Gill, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8008 Walerga Rd Ste 100, Antelope, CA 95843 Phone: 916-725-4530
Dr. Milen Krastev, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4320 Elverta Rd, Antelope, CA 95843 Phone: 916-302-4182

Mr William John Black, DDS - Medicare Dentist in Antelope, CA