Carla Marie Black, MD in Indianapolis, IN - Medicare Psychiatry & Neurology

Carla Marie Black, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Indianapolis, Indiana. Her current practice location is 6640 Intech Blvd Ste 195, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 295-0608.

Carla Marie Black is licensed to practice in Indiana (license number 01087770A) 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 1124473749.

Contact Information

	Carla Marie Black, MD
	6640 Intech Blvd Ste 195, Indianapolis, IN 46278-2014
	(317) 295-0608
	(317) 948-0609

Map and Direction

Physician's Profile

Full Name	Carla Marie Black
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	6640 Intech Blvd Ste 195, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124473749
Provider Enumeration Date: 05/02/2016
Last Update Date: 06/07/2022

Medicare PECOS Information:

PECOS PAC ID: 0941595136
Enrollment ID: I20220609000353

Medical Identifiers

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

Identifier	Type	State	Issuer
1124473749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01087770A (Indiana)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	310168 (Louisiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	01087770A (Indiana)	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. Carla Marie Black allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Carla Marie 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
Carla Marie Black, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Carla Marie Black, MD 6640 Intech Blvd Ste 195, Indianapolis, IN 46278-2014 Ph: (317) 295-0608

Reviews and Comments

Psychiatry & Neurology Doctors in Indianapolis, IN

Dr. John Robert Hayes, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Lilly Corporate Ctr, Indianapolis, IN 46285 Phone: 317-433-6270 Fax: 317-433-2794
Madison Ott, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1120 W Michigan St # Cl630, Indianapolis, IN 46202 Phone: 317-278-2686
Priyanka Reddy, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-8162
Dr. Emily Leilani Cooper, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 355 W. 16th Street, #2364, Indianapolis, IN 46202 Phone: 317-963-7307
Andrew T Filipowicz, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7307
David J Posey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9106 N Meridian St, Ste 210, Indianapolis, IN 46260 Phone: 317-341-4575
Judith M Bealke, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 702 Barnhill Dr, Rm. 4300, Indianapolis, IN 46202 Phone: 317-274-8162

Carla Marie Black, MD - Medicare Psychiatry & Neurology in Indianapolis, IN