MICHAEL ANTHONY BLACK SR. P.A.-C NPI 1003007311
Physician Assistant in Spartanburg, SC
About MICHAEL ANTHONY BLACK SR. P.A.-C
Michael Black is a primary care provider established in Spartanburg, South Carolina and his medical specialization is Physician Assistant with more than 11 years of experience. The NPI number of this provider is 1003007311 and was assigned on August 2007. The practitioner's primary taxonomy code is 363A00000X with license number PA10004010 (WA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
NPI | 1003007311 |
Provider Name | MICHAEL ANTHONY BLACK SR. P.A.-C |
Location Address | 1762 E MAIN ST SPARTANBURG, SC 29307 |
Location Phone | (864) 591-2261 |
Mailing Address | 1818 HENDERSON ST COLUMBIA, SC 29201 |
Gender | Male |
NPI Entity Type | Individual |
Medical School Name | OTHER |
Graduation Year | 2012 |
Is Sole Proprietor? | No |
Enumeration Date | 08-05-2007 |
Last Update Date | 02-02-2021 |
A primary care provider (PCP) like Michael Black sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Michael Black is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Michael Black is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.4 for a new patient copayment and $17.43 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Taxonomy Code | 363A00000X |
Classification | Physician Assistant |
Type | Physician Assistants & Advanced Practice Nursing Providers |
License No. | PA10004010 |
License State | WA |
Taxonomy Description | A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
Business Address
1762 E MAIN ST
SPARTANBURG, SC
ZIP 29307
Phone: (864) 591-2261
Mailing Address
1818 HENDERSON ST
COLUMBIA, SC
ZIP 29201
Phone: (803) 782-4278
Secondary Locations
3600 Darnall Loop Carl R. Darnall Army Medical Center
Ft Hood, TX 76544
(254) 286-7927
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Registered in PECOS? | Yes |
PECOS PAC ID | 9234543505 |
PECOS Enrollment ID | I20210127002395 |
Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
Eligible order / refer Durable Medical Equipment | Yes |
Eligible order / refer Home Health Agency (HHA) | Yes |
Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 29307 ZIP code area.
New Patients Office Visits Costs * | ||
---|---|---|
Most Utilized Procedure Code for new patients office visits: 99203 | ||
Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
$55.43 | $169.76 | $85.63 |
Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
$13.85 | $42.44 | $21.4 |
Established Patients Office Visits Costs * | ||
---|---|---|
Most Utilized Procedure Code for established patients office visits: 99213 | ||
Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
$17.06 | $138.69 | $69.73 |
Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
$4.26 | $34.67 | $17.43 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 0 | 3 | 0 | 0 | 7 | 3 | 1 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 0 | 0 | 14 | 3 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 3 + 2 + 24 = 39 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
40 - 39 = 1 | 1 |
The NPI number 1003007311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1457686461 | ELIZABETH STORCH PT Individual | Physical Therapist | 1762 E MAIN ST SPARTANBURG, SC 29307 (864) 573-5075 |
1184963019 | PROGRESSIVE PHYSICAL THERAPY, PA Organization | Physical Therapist | 1762 E MAIN ST SPARTANBURG, SC 29307 (843) 573-5075 |
1346580784 | MS. SUSAN GAIL MCWILLIAM BN MS APRN FNP-BC Individual | Nurse Practitioner (Family) | 1762 E MAIN ST SPARTANBURG, SC 29307 (864) 591-2261 |
1275688772 | CECILIA S. CANNON P.A. Individual | Physician Assistant | 1762 E MAIN ST SPARTANBURG, SC 29307 (864) 591-2261 |
1972842862 | DOCTORS CARE SC, PA Organization | Family Medicine | 1762 E MAIN ST SPARTANBURG, SC 29307 (864) 591-2261 |
1760137863 | ELLA MARGARET SCHOFIELD Individual | Nurse Practitioner (Family) | 1762 E MAIN ST SPARTANBURG, SC 29307 (864) 591-2261 |
Frequently Asked Questions
What is Michael Black SR. P.A.-C NPI number?
The NPI number assigned to this healthcare provider is 1003007311, registered as an "individual" on August 05, 2007
Where is Michael Black SR. P.A.-C located?
The provider is located at 1762 E Main St Spartanburg, Sc 29307 and the phone number is (864) 591-2261
Which is Michael Black SR. P.A.-C specialty?
The provider's speciality is Physician Assistant
How many years of experience does Michael Black SR. P.A.-C have?
The provider has more than 11 years of experience.
Is Michael Black SR. P.A.-C registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Michael Black SR. P.A.-C?
Medicare beneficiaries should expect a typical cost of $85.63 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $69.73 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Michael Black SR. P.A.-C was last updated on August 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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