Peter K Black, MD - Medicare Undersea And Hyperbaric Medicine in Vancouver, WA

Peter K Black, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Vancouver, Washington. He went to Oregon Health Sciences University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Undersea And Hyperbaric Medicine. He is a member of the group practice Peacehealth and his current practice location is 8716 E Mill Plain Blvd, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 514-4325.

Peter K Black is licensed to practice in Washington (license number MD61439872) 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 1265460406.

Contact Information

Peter K Black, MD
8716 E Mill Plain Blvd,
Vancouver, WA 98664-2531
(360) 514-4325
(360) 514-4336



Physician's Profile

Full NamePeter K Black
GenderMale
SpecialityUndersea And Hyperbaric Medicine
Experience24 Years
Location8716 E Mill Plain Blvd, Vancouver, Washington
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:
  • Peter K Black attended and graduated from Oregon Health Sciences University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1265460406
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890690895
  • Enrollment ID: I20230714003515

Medical Identifiers

Medical identifiers for Peter K Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265460406NPI-NPPES
227426MedicaidOR
P00464800OtherORRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine MD24481 (Oregon)Secondary
207R00000XInternal Medicine MD61439872 (Washington)Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine MD61439872 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peacehealth Southwest Medical CenterVancouver, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peacehealth973909206586

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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. Peter K Black allows following entities to bill medicare on his behalf.
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134178999
PECOS PAC ID: 9739092065
Enrollment ID: O20031111000831

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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. Peter K 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
Peter K Black, MD
Po Box 3395,
Portland, OR 97208-3395

Ph: () -
Peter K Black, MD
8716 E Mill Plain Blvd,
Vancouver, WA 98664-2531

Ph: (360) 514-4325

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Preventive Medicine Doctors in Vancouver, WA

Craig F. Thompson, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2621 Ne 134th St, Suite 310, Vancouver, WA 98686
Phone: 360-891-4900    Fax: 360-546-3510
Juliet Tran, M.D, M.P.H.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 17700 Se Mill Plain Blvd, Vancouver, WA 98683
Phone: 504-988-2838    
Erik D Geissal, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7809 Ne Vancouver Plaza Dr Ste 110, Vancouver, WA 98662
Phone: 360-882-2778    Fax: 360-604-1728

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