Ms Heather Wittmann Black, LCSW in Gulfport, MS - Medicare Clinical Social Worker Provider

Ms Heather Wittmann Black, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gulfport, Mississippi. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 2214 25th Ave Unit 2, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 223-2205.

Ms Heather Wittmann Black is licensed to practice in Mississippi (license number C5680) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538491634.

Contact Information

	Ms Heather Wittmann Black, LCSW
	2214 25th Ave Unit 2, Gulfport, MS 39501-4520
	(228) 223-2205
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Heather Wittmann Black
Gender	Female
Speciality	Clinical Social Worker
Experience	22 Years
Location	2214 25th Ave Unit 2, Gulfport, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Heather Wittmann Black graduated from medical school in 2002

NPI Data:

NPI Number: 1538491634
Provider Enumeration Date: 02/01/2010
Last Update Date: 02/07/2018

Medicare PECOS Information:

PECOS PAC ID: 8022250778
Enrollment ID: I20130809000316

Medical Identifiers

Medical identifiers for Ms Heather Wittmann Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538491634	NPI	-	NPPES
587728	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C5680 (Mississippi)	Primary

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. Ms Heather Wittmann Black allows following entities to bill medicare on her behalf.

Entity Name	Serenity Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295258101 PECOS PAC ID: 9234402967 Enrollment ID: O20170831002191

Entity Name	Tbd Acquisition Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750891792 PECOS PAC ID: 7911272257 Enrollment ID: O20171219001761

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. Ms Heather Wittmann 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
Ms Heather Wittmann Black, LCSW 222 Boggs Cir, Long Beach, MS 39560-5807 Ph: (228) 223-2205	Ms Heather Wittmann Black, LCSW 2214 25th Ave Unit 2, Gulfport, MS 39501-4520 Ph: (228) 223-2205

Reviews and Comments

Social Worker in Gulfport, MS

Dr. Shelia Rivers, DSW, LCSW, MPH Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 707-728-5131
Mrs. Mona Marie Holloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 36, Gulfport, MS 39501 Phone: 228-591-1442
Ms. Susan Elizabeth Pyles, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-990-5217 Fax: 228-594-9155
Miss Juliet Liuzza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 North St, Gulfport, MS 39507 Phone: 228-219-5995
Mrs. Jocelyn Gavin-lane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10585 Three Rivers Rd, Suite C, Gulfport, MS 39503 Phone: 228-604-0099 Fax: 228-604-2001
Dr. Lauren Suzanne Zakaras, LCSW, DBH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15465 Oak Ln, Ste. D, Gulfport, MS 39503 Phone: 765-720-3730
Shannon Deirdre Bradley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501 Phone: 228-822-5710

Ms Heather Wittmann Black, LCSW - Medicare Clinical Social Worker in Gulfport, MS