Dr Derek Alan Black, OD - Medicare Optometrist in Cumming, GA

Dr Derek Alan Black, OD is a medicare enrolled "Optometrist" provider in Cumming, Georgia. He went to Southern College Of Optometry and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eagle View Eye Care Llc and his current practice location is 1211 Bald Ridge Marina Rd, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 239-6625.

Dr Derek Alan Black is licensed to practice in Georgia (license number OPT002922) 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 1114353232.

Contact Information

Dr Derek Alan Black, OD
1211 Bald Ridge Marina Rd,
Cumming, GA 30041-8484
(470) 239-6625
(470) 239-6626



Healthcare Provider's Profile

Full NameDr Derek Alan Black
GenderMale
SpecialityOptometry
Experience11 Years
Location1211 Bald Ridge Marina Rd, Cumming, 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:
  • Dr Derek Alan Black attended and graduated from Southern College Of Optometry in 2013
  NPI Data:
  • NPI Number: 1114353232
  • Provider Enumeration Date: 09/20/2013
  • Last Update Date: 10/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133410848
  • Enrollment ID: I20160627001622

Medical Identifiers

Medical identifiers for Dr Derek Alan Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114353232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT002922 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eagle View Eye Care Llc72143482594

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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. Dr Derek Alan Black allows following entities to bill medicare on his behalf.
Provider NameEagle View Eye Care Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508495474
PECOS PAC ID: 7214348259
Enrollment ID: O20210308000835

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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. Dr Derek Alan 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
Dr Derek Alan Black, OD
1211 Bald Ridge Marina Rd,
Cumming, GA 30041-8484

Ph: (470) 239-6625
Dr Derek Alan Black, OD
1211 Bald Ridge Marina Rd,
Cumming, GA 30041-8484

Ph: (470) 239-6625

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Optometrist in Cumming, GA

Dr. Elisabeth J Lawson, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1525 Market Place Blvd, Cumming, GA 30041
Phone: 770-292-9015    Fax: 678-513-4175
Complete Family Eyecare And Optique Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2350 Atlanta Hwy Ste 110, Cumming, GA 30040
Phone: 678-965-5558    Fax: 678-965-5502
Kimberley A Linert, Inc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 525 Tribble Gap Rd, #1305, Cumming, GA 30028
Phone: 404-234-5773    
Thomas Eye Group Pc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 546 Lakeland Plz, Cumming, GA 30040
Phone: 678-892-2020    
Mr. Michael Wayne Hung, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 410 Peachtree Pkwy Ste 220, Cumming, GA 30041
Phone: 770-887-6579    
Marietta Eye Optical
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2860 Ronald Reagan Blvd, Cumming, GA 30041
Phone: 770-427-8111    
Dr. Erica Lynne Bridges, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1034 Haw Creek Circle, Suite 100, Cumming, GA 30041
Phone: 678-381-2020    

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