Clayton Black, in Bend, OR - Medicare Counselor Provider

Clayton Black, is a medicare enrolled "Counselor - Mental Health" provider in Bend, Oregon. His current practice location is 20370 Poe Sholes Dr, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 318-1377.

Clayton Black is licensed to practice in * (Not Available) (license number ) 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 1033624317.

Contact Information

	Clayton Black,
	20370 Poe Sholes Dr, Bend, OR 97703-7938
	(541) 318-1377
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clayton Black
Gender	Male
Speciality	Counselor - Mental Health
Location	20370 Poe Sholes Dr, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033624317
Provider Enumeration Date: 12/07/2017
Last Update Date: 12/07/2017

Medicare PECOS Information:

PECOS PAC ID: 6709230014
Enrollment ID: I20240122001434

Medical Identifiers

Medical identifiers for Clayton Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033624317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Clayton Black allows following entities to bill medicare on his behalf.

Entity Name	Codac Health Recovery And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033156567 PECOS PAC ID: 6103813811 Enrollment ID: O20040426001693

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. Clayton 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
Clayton Black, 20370 Poe Sholes Dr, Bend, OR 97703-7938 Ph: (541) 318-1377	Clayton Black, 20370 Poe Sholes Dr, Bend, OR 97703-7938 Ph: (541) 318-1377

Reviews and Comments

Counselor in Bend, OR

Mr. Joshua Seth Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 63360 Nw Britta St Ste 1, Bend, OR 97701 Phone: 541-318-4845
Joanne White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7500 Fax: 541-322-7565
Jenny Marie Wolleat, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1646 Ne Edgecliff Cir, Bend, OR 97701 Phone: 971-506-5366
Cara Miller, Counselor Medicare: Medicare Enrolled Practice Location: 20370 Poe Sholes Dr, Bend, OR 97701 Phone: 541-318-1377
Mrs. Stacy Ann Campbell, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Nw Park Pl, Bend, OR 97703 Phone: 208-577-1595 Fax: 541-640-5538
Dr. Ryan F Reese, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Nw Wall St, Bend, OR 97703 Phone: 541-241-6575
Corey May, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 Ne Greenwood Ave Ste 215, Bend, OR 97701 Phone: --

Clayton Black, - Medicare Counselor in Bend, OR