Keith N Black, DO - Medicare Family Medicine in Panhandle, TX

Keith N Black, DO is a medicare enrolled "Family Medicine" physician in Panhandle, Texas. His current practice location is 421 Main Street, Panhandle, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 532-2273.

Keith N Black is licensed to practice in Texas (license number E9543) 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 1386668267.

Contact Information

Keith N Black, DO
421 Main Street,
Panhandle, TX 79068
(806) 532-2273
(806) 532-2276



Physician's Profile

Full NameKeith N Black
GenderMale
SpecialityFamily Medicine
Location421 Main Street, Panhandle, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386668267
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 03/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7719984533
  • Enrollment ID: I20100527000196

Medical Identifiers

Medical identifiers for Keith N Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386668267NPI-NPPES
131469204MedicaidTX
E9543OtherTXUNICARE
E9543OtherTXWORKER'S COMPENSATION
80138267OtherTXRAILROAD MEDICARE
108684100OtherTXFIRST CARE
1186100001OtherTXCIGNA DMERC
1186100001OtherTXPALMETTO DMERC
132180100OtherTXSOUTHWEST LIFE & HEALTH
84V315OtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E9543 (Texas)Primary
207Q00000XFamily Medicine 1793 (Oklahoma)Secondary
207Q00000XFamily Medicine 0320000253 (Vermont)Secondary

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. Keith N Black allows following entities to bill medicare on his behalf.
Entity NamePampa Medical Development Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225572217
PECOS PAC ID: 8729360888
Enrollment ID: O20170125000598

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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. Keith N 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
Keith N Black, DO
Po Box 10,
Panhandle, TX 79068-0010

Ph: (806) 532-2273
Keith N Black, DO
421 Main Street,
Panhandle, TX 79068

Ph: (806) 532-2273

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Family Medicine Doctors in Panhandle, TX


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