MRS. TRACY REYMORE BLACK PA-C NPI 1033181193

NPI Details

MRS. Tracy Reymore Black, PA-C is a physician assistant in Myrtle Beach, SC with 36 years of experience. The provider is 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. MRS. Tracy Reymore Black, PA-C NPI is 1033181193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8208 DEVON COURT
SUITE B
MYRTLE BEACH, SC
ZIP 29572
Phone: (704) 364-6110
Fax: (704) 364-4245

The NPI 1033181193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Biopsy of ear (HCPCS:69100)
• Injection into skin growth, 1-7 growths (HCPCS:11900)
• Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
• Punch biopsy, first skin growth (HCPCS:11104)
• Shaving of skin growth of body, arms, or legs, 0.5 cm or less (HCPCS:11300)

The enumeration date for this NPI number is 2/3/2006 and was last updated on 12/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: