Mrs Nicole Renee Black, MS in Joplin, MO - Medicare Counselor Provider

Mrs Nicole Renee Black, MS is a medicare enrolled "Counselor - Professional" provider in Joplin, Missouri. Her current practice location is 1230 N Duquesne Rd, Joplin, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 782-1443.

Mrs Nicole Renee Black is licensed to practice in Missouri (license number 2003004290) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588734446.

Contact Information

	Mrs Nicole Renee Black, MS
	1230 N Duquesne Rd, Joplin, MO 64801-1509
	(417) 782-1443
	(417) 782-3240

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Renee Black
Gender	Female
Speciality	Counselor - Professional
Location	1230 N Duquesne Rd, Joplin, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588734446
Provider Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719336031
Enrollment ID: I20231214002807

Medical Identifiers

Medical identifiers for Mrs Nicole Renee Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588734446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2003004290 (Missouri)	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. Mrs Nicole Renee Black allows following entities to bill medicare on her behalf.

Entity Name	College Skyline Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598764110 PECOS PAC ID: 0749383842 Enrollment ID: O20070309000442

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 Nicole Renee 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 Nicole Renee Black, MS 1230 N Duquesne Rd, Joplin, MO 64801-1509 Ph: (417) 782-1443	Mrs Nicole Renee Black, MS 1230 N Duquesne Rd, Joplin, MO 64801-1509 Ph: (417) 782-1443

Reviews and Comments

Counselor in Joplin, MO

Darla Wyatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3405 S. Hammons Blvd., Joplin, MO 64804 Phone: 417-319-4388
Katlyn B Valentine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3220 Wisconsin Ave, Joplin, MO 64804 Phone: 417-347-7730
Melissa Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 N Duquesne Rd, Joplin, MO 64801 Phone: 417-782-1443 Fax: 417-782-3240
Alisha Lynn Langley, Counselor Medicare: Medicare Enrolled Practice Location: 3901 E 32nd St, Joplin, MO 64804 Phone: 417-347-7073
Dr. Michael Simon Londe, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 E 32nd St Ste 1, Joplin, MO 64804 Phone: 417-781-2868 Fax: 417-781-1922
Caitlin M Overfelt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 W 30th St, Joplin, MO 64804 Phone: 417-347-7580
Nathan Glen Honeycutt, MSC, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 1949 Snowberry Ln, Joplin, MO 64804 Phone: 417-347-7783

Mrs Nicole Renee Black, MS - Medicare Counselor in Joplin, MO