Candice Black, DO - Medicare Pathology in Lebanon, NH

Candice Black, DO is a medicare enrolled "Pathology - Anatomic Pathology" physician in Lebanon, New Hampshire. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Dartmouth-hitchcock Clinic and her current practice location is 1 Medical Center Dr, Pathology Dept, Dhmc, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 650-7211.

Candice Black is licensed to practice in New Hampshire (license number 11684) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528093887.

Contact Information

Candice Black, DO
1 Medical Center Dr, Pathology Dept, Dhmc,
Lebanon, NH 03756-1000
(603) 650-7211
Not Available



Physician's Profile

Full NameCandice Black
GenderFemale
SpecialityPathology
Experience28 Years
Location1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Candice Black graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1528093887
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 07/16/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6305913682
  • Enrollment ID: I20080929000485

Medical Identifiers

Medical identifiers for Candice Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528093887NPI-NPPES
30222118MedicaidNH
1009038MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology 11684 (New Hampshire)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Hitchcock Memorial HospitalLebanon, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dartmouth-hitchcock Clinic41835375091139

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Candice Black allows following entities to bill medicare on her behalf.
Entity NameDartmouth-hitchcock Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210198
PECOS PAC ID: 4183537509
Enrollment ID: O20040809000442

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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. Candice 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 AddressPractice Location Address
Candice Black, DO
1 Medical Center Dr, Pathology Dept, Dhmc,
Lebanon, NH 03756-1000

Ph: (603) 650-7211
Candice Black, DO
1 Medical Center Dr, Pathology Dept, Dhmc,
Lebanon, NH 03756-1000

Ph: (603) 650-7211

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Pathology Doctors in Lebanon, NH

Dr. Charles Harker Rhodes Iii, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Center Dr, Department Of Pathology, Lebanon, NH 03756
Phone: 603-650-7744    
Dr. Zbigniew Macdonald Szczepiorkowski, MD, PHD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Lebanon, NH 03756
Phone: 603-653-9907    Fax: 603-650-4845
Dr. Melissa Louise Petras, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Lebanon, NH 03756
Phone: 603-650-5000    
Dr. Kim T Ornvold, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Center Dr, Dhmc - Dept Of Pathology, Lebanon, NH 03756
Phone: 603-650-7211    
Seth Charles Lummus, D.O.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Center Dr, Lebanon, NH 03756
Phone: 603-650-7211    
Dr. Arief Suriawinata, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Dhmc - Pathology, Lebanon, NH 03756
Phone: 603-650-7048    
Elena Zarovnaya, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Center Dr, Lebanon, NH 03756
Phone: 603-650-8458    

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