Mrs Mellisa Dawn Black, PMHNP-BC in Festus, MO

Mrs Mellisa Dawn Black, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Festus, Missouri. Her current practice location is 1400 Us Highway 61 Ste 150, Festus, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 543-2230.

Mrs Mellisa Dawn Black is licensed to practice in Missouri (license number 2023002795) 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 1619673894.

Contact Information

	Mrs Mellisa Dawn Black, PMHNP-BC
	1400 Us Highway 61 Ste 150, Festus, MO 63028-4141
	(636) 543-2230
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mellisa Dawn Black
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1400 Us Highway 61 Ste 150, Festus, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619673894
Provider Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 7012381072
Enrollment ID: I20230315001098

Medical Identifiers

Medical identifiers for Mrs Mellisa Dawn Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619673894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2023002795 (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 Mellisa Dawn Black allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Adult Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750788972 PECOS PAC ID: 4688998602 Enrollment ID: O20150122002258

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 Mellisa Dawn 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 Mellisa Dawn Black, PMHNP-BC 1400 Us Highway 61 Ste 150, Festus, MO 63028-4141 Ph: (636) 543-2230	Mrs Mellisa Dawn Black, PMHNP-BC 1400 Us Highway 61 Ste 150, Festus, MO 63028-4141 Ph: (636) 543-2230

Reviews and Comments

Nurse Practitioner Nurses in Festus, MO

Cynthia Snider, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1153 E Gannon Dr, Festus, MO 63028 Phone: 636-282-0380 Fax: 877-592-0806
Blair A Theis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007
Zachary Vaugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1078 Eagle Valley Dr, Festus, MO 63028 Phone: 314-488-3464
Louise Jadwisiak, RN,CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007
Tamra Lynn Crouch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337
Ms. Michele J Soest, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 627 Westwood Dr S, Festus, MO 63028 Phone: 636-931-9066
Jennifer Teresa French, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61 Ste 240a, Festus, MO 63028 Phone: 636-937-3337 Fax: 636-931-7671

Mrs Mellisa Dawn Black, PMHNP-BC - Medicare Nurse Practitioner in Festus, MO