Charles Dewayne Black, DO - Medicare Emergency Medicine in Ardmore, OK

Charles Dewayne Black, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Ardmore, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Nes Oklahoma, Inc. and his current practice location is 1011 14th Ave Nw, Er Dept., Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 220-6415.

Charles Dewayne Black is licensed to practice in Oklahoma (license number 3023) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891757860.

Contact Information

Charles Dewayne Black, DO
1011 14th Ave Nw, Er Dept.,
Ardmore, OK 73401-1828
(580) 220-6415
(405) 749-4561



Physician's Profile

Full NameCharles Dewayne Black
GenderMale
SpecialityEmergency Medicine
Experience33 Years
Location1011 14th Ave Nw, Ardmore, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Dewayne Black attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1991
  NPI Data:
  • NPI Number: 1891757860
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 11/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1254438468
  • Enrollment ID: I20070523000495

Medical Identifiers

Medical identifiers for Charles Dewayne Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891757860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 3023 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Integris Marshall County Medical CenterMadill, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nes Oklahoma, Inc.145626432469

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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. Charles Dewayne Black allows following entities to bill medicare on his behalf.
Entity NameNes Oklahoma, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528040722
PECOS PAC ID: 1456264324
Enrollment ID: O20040726000516

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Entity NameOklahoma Emergency Physician Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891039764
PECOS PAC ID: 0345493649
Enrollment ID: O20130118000115

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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. Charles Dewayne 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
Charles Dewayne Black, DO
4401 W Memorial Rd, Suite 121,
Oklahoma City, OK 73134-1785

Ph: (405) 751-4664
Charles Dewayne Black, DO
1011 14th Ave Nw, Er Dept.,
Ardmore, OK 73401-1828

Ph: (580) 220-6415

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Emergency Medicine Doctors in Ardmore, OK

Mark Damon Ii, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6658    Fax: 580-220-6673
Ernest Byron Foster Ii, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6658    Fax: 580-220-6673
Dr. Daniel Ryan Wheeler, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6588    
Lindsay Anne Wilson, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6132    Fax: 580-220-6772
Daniel Francis Mckinley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6658    Fax: 580-220-6673
Dr. Jason Andrew Carter, MD, MHSA, FACEP
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 4th Ave Nw Ste 96, Ardmore, OK 73401
Phone: 417-612-3985    
Dr. Carl Allen Thompson, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6658    Fax: 580-220-6673

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