Damon A Black, MD - Medicare Diagnostic Radiology in Rome, GA

Damon A Black, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rome, Georgia. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2000 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ctca Physicians Group Of Georgia, Llc. and his current practice location is 901 N Broad St Ne, Suite 220, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 291-2077.

Damon A Black is licensed to practice in Georgia (license number 056409) 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 1225071616.

Contact Information

Damon A Black, MD
901 N Broad St Ne, Suite 220,
Rome, GA 30161-5207
(706) 291-2077
(706) 235-4177



Physician's Profile

Full NameDamon A Black
GenderMale
SpecialityDiagnostic Radiology
Experience24 Years
Location901 N Broad St Ne, Rome, Georgia
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:
  • Damon A Black attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2000
  NPI Data:
  • NPI Number: 1225071616
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 07/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6002829710
  • Enrollment ID: I20060725000368

Medical Identifiers

Medical identifiers for Damon A Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225071616NPI-NPPES
649332244AMedicaidGA
923350OtherGABCBS OF GEORGIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 056409 (Georgia)Secondary
2085N0700XRadiology - Neuroradiology 056409 (Georgia)Secondary
2085P0229XRadiology - Pediatric Radiology 056409 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology 056409 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southeastern Regional Medical CenterNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ctca Physicians Group Of Georgia, Llc.4880841212119

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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. Damon A Black allows following entities to bill medicare on his behalf.
Entity NameCtca Physicians Group Of Georgia, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117

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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. Damon A 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
Damon A Black, MD
Po Box 369,
Rome, GA 30162-0369

Ph: (706) 291-2077
Damon A Black, MD
901 N Broad St Ne, Suite 220,
Rome, GA 30161-5207

Ph: (706) 291-2077

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Radiology Doctors in Rome, GA

Dr. Steven W Pruett, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1104 Martha Berry Blvd Ne, Rome, GA 30165
Phone: 706-291-2077    Fax: 706-235-4177
Matthew Peter Mumber, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 255 W 5th St Sw, Rome, GA 30165
Phone: 706-234-1400    Fax: 706-232-5018
Dr. Chad Harple, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 901 N Broad St Ne, Rome, GA 30161
Phone: 706-291-2661    
Dr. Michael K Kizziah, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 255 W 5th St Sw, Suite 150, Rome, GA 30165
Phone: 706-232-1545    Fax: 706-232-3819
William P Harbin Ii,
Radiology
Medicare: Medicare Enrolled
Practice Location: 901 N Broad St Ne, Suite 220, Rome, GA 30161
Phone: 706-291-2077    
J. Daniel Hanks Jr.,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1104 Martha Berry Blvd Ne, Rome, GA 30165
Phone: 706-291-2077    
John Christopher Abdou, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 255 W 5th St Sw, Rome, GA 30165
Phone: 706-234-1400    Fax: 706-232-5018

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