Mr Daniel C Black, PA in Siloam Springs, AR - Medicare Physician Assistant

Mr Daniel C Black, PA is a medicare enrolled "Physician Assistant" in Siloam Springs, Arkansas. His current practice location is 603 N Progress Ave, Siloam Springs, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 524-4141.

Mr Daniel C Black is licensed to practice in Arkansas (license number PT2018-017) 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 1699270140.

Contact Information

	Mr Daniel C Black, PA
	603 N Progress Ave, Siloam Springs, AR 72761-4352
	(479) 524-4141
	(479) 549-2577

Provider's Profile

Full Name	Mr Daniel C Black
Gender	Male
Speciality	Physician Assistant
Location	603 N Progress Ave, Siloam Springs, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699270140
Provider Enumeration Date: 03/27/2018
Last Update Date: 03/28/2018

Medicare PECOS Information:

PECOS PAC ID: 5799049334
Enrollment ID: I20180507000451

Medical Identifiers

Medical identifiers for Mr Daniel C Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699270140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PT2018-017 (Arkansas)	Primary

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. Mr Daniel C 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 Address	Practice Location Address
Mr Daniel C Black, PA 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Mr Daniel C Black, PA 603 N Progress Ave, Siloam Springs, AR 72761-4352 Ph: (479) 524-4141

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Physician Assistant Nurses in Siloam Springs, AR

Megan Breanna Albers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Broadhurst St, Siloam Springs, AR 72761 Phone: 479-373-1591 Fax: 479-524-3090
Daniel Shane Briley, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2125 E Main St Ste 10, Siloam Springs, AR 72761 Phone: 479-524-8552 Fax: 479-524-8593
Mrs. Jamie Janelle Claborn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2033 Ravenwood Plaza, Siloam Springs, AR 72761 Phone: 479-373-6566 Fax: 479-373-6567
Mary Emily Featherstone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 451 S Holly St, Siloam Springs, AR 72761 Phone: 479-549-3079 Fax: 479-549-3275
Ms. Rachel Fritsche Gordon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 Phone: 479-215-3080 Fax: 713-794-8875
Ms. Mary Melinda Ericson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3721 E Us 412 Hwy Ste B, Siloam Springs, AR 72761 Phone: 479-215-3080 Fax: 479-549-4059

Mr Daniel C Black, PA - Medicare Physician Assistant in Siloam Springs, AR