Emily Jessica Black, is a
Counselor based in Worcestor, Massachusetts. Emily Jessica Black is licensed to practice in * (Not Available) (license number ) and her current practice location is
172 Lincoln Street, Worcestor, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 770-0511.
NPI number for Emily Jessica Black is 1245757780 and her current mailing address is 172 Lincoln St, Worcester, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245757780.
Healthcare Provider's Profile
Full Name | Emily Jessica Black |
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Gender | Female |
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Speciality | Counselor |
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Location | 172 Lincoln Street, Worcestor, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245757780
- Provider Enumeration Date: 08/25/2017
- Last Update Date: 08/25/2017
Medical Identifiers
Medical identifiers for Emily Jessica Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245757780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Primary |
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. Emily Jessica Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Emily Jessica Black, 172 Lincoln St, Worcester, MA 01605-3750 Ph: () - | Emily Jessica Black, 172 Lincoln Street, Worcestor, MA 01605 Ph: (508) 770-0511 |
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