Dr Ellis Luca Black, MD in Seattle, WA - Medicare Psychiatry & Neurology

Dr Ellis Luca Black, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Seattle, Washington. Her current practice location is 2711 E Madison St Ste 204, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 984-3924.

Dr Ellis Luca Black is licensed to practice in Washington (license number MD60937058) 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 1013395904.

Contact Information

	Dr Ellis Luca Black, MD
	2711 E Madison St Ste 204, Seattle, WA 98112-4763
	(206) 984-3924
	(206) 339-1776

Map and Direction

Physician's Profile

Full Name	Dr Ellis Luca Black
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	2711 E Madison St Ste 204, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013395904
Provider Enumeration Date: 05/11/2015
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6406125186
Enrollment ID: I20200825002144

Medical Identifiers

Medical identifiers for Dr Ellis Luca Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013395904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD60937058 (Washington)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD60937058 (Washington)	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. Dr Ellis Luca Black allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

Entity Name	The Association Of Chrmc And University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585

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. Dr Ellis Luca 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
Dr Ellis Luca Black, MD 2711 E Madison St Ste 204, Seattle, WA 98112-4763 Ph: (206) 984-3924	Dr Ellis Luca Black, MD 2711 E Madison St Ste 204, Seattle, WA 98112-4763 Ph: (206) 984-3924

Reviews and Comments

Psychiatry & Neurology Doctors in Seattle, WA

Dr. Herbert Orenstein, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 901 Boren Avenue, #702, Seattle, WA 98104 Phone: 206-623-7444 Fax: 206-623-7445
Dr. Rebecca Mae Allen, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 805 Madison St Ste 401, Seattle, WA 98104 Phone: 206-467-6300
Monica Kristin Samelson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1613 E Alder St, Seattle, WA 98122 Phone: 206-558-5495
Roy D Clark Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 509 Olive Way, #531, Seattle, WA 98101 Phone: 206-682-5203 Fax: 206-682-5304
Julia H Murray, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4800 Sand Point Way Ne, Seattle, WA 98105 Phone: 206-987-2000
Marcio A Sotero De Menezes, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway Ste 400, Seattle, WA 98122 Phone: 206-215-1440 Fax: 206-215-1441
Dr. Lee-loung Liou, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065

Dr Ellis Luca Black, MD - Medicare Psychiatry & Neurology in Seattle, WA