Mrs Lora L Black, PHD is a medicare enrolled "Psychologist - Clinical" provider in Columbus, Ohio. She graduated from healthcare school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Osu Psychiatry, Llc, Osu General Internal Medicine Llc and her current practice location is
1800 Zollinger Rd, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 293-9600.
Mrs Lora L Black is licensed to practice in Ohio (license number P.7522) 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 1053741074.
Healthcare Provider's Profile
Full Name | Mrs Lora L Black |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 9 Years |
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Location | 1800 Zollinger Rd, Columbus, Ohio |
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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. |
Medical Education and Training:
- Mrs Lora L Black graduated from medical school in 2016
NPI Data:
- NPI Number: 1053741074
- Provider Enumeration Date: 11/13/2013
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800130618
- Enrollment ID: I20230815003199
Medical Identifiers
Medical identifiers for Mrs Lora L Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053741074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | T-LMLP 2474 (Kansas) | Secondary |
103TC0700X | Psychologist - Clinical | P.7522 (Ohio) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Osu Psychiatry, Llc | 0749272714 | 99 |
Osu General Internal Medicine Llc | 7517103955 | 237 |
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. Mrs Lora L Black allows following entities to bill medicare on her behalf.
Entity Name | Osu Psychiatry, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194773317 PECOS PAC ID: 0749272714 Enrollment ID: O20040331000566 |
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Entity Name | Osu General Internal Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603 |
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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. Mrs Lora L 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 |
Mrs Lora L Black, PHD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-9600 | Mrs Lora L Black, PHD 1800 Zollinger Rd, Columbus, OH 43221-2849 Ph: (614) 293-9600 |
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