Melissa Katherine Black, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marina, California. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice County Of Monterey and her current practice location is
299 12th St, Marina, California. You can reach out to her office (for appointments etc.) via phone at
(831) 647-7652.
Melissa Katherine Black is licensed to practice in California (license number LCSW79673) 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 1336337732.
Healthcare Provider's Profile
| Full Name | Melissa Katherine Black |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 299 12th St, Marina, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Melissa Katherine Black graduated from medical school in 2013
NPI Data:
- NPI Number: 1336337732
- Provider Enumeration Date: 10/10/2007
- Last Update Date: 10/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 5496013807
- Enrollment ID: I20171212002811
Medical Identifiers
Medical identifiers for Melissa Katherine Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336337732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW59562 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW79673 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| County Of Monterey | 2466345632 | 151 |
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. Melissa Katherine Black allows following entities to bill medicare on her behalf.
| Entity Name | County Of Monterey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467584805
PECOS PAC ID: 2466345632
Enrollment ID: O20040913001243 |
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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. Melissa Katherine 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 |
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Melissa Katherine Black, MSW, LCSW
Po Box 1436,
Morgan Hill, CA 95038-1436
Ph: (831) 647-7652 | Melissa Katherine Black, MSW, LCSW
299 12th St,
Marina, CA 93933-6003
Ph: (831) 647-7652 |
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