Ms M Kathryn Black, LAC is a medicare enrolled "Acupuncturist" in Willits, California. Her current practice location is
750 Central Ave, Willits, California. You can reach out to her office (for appointments etc.) via phone at
(707) 459-5744.
Ms M Kathryn Black is licensed to practice in California (license number AC3224) 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 1548374754.
Provider's Profile
Full Name | Ms M Kathryn Black |
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Gender | Female |
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Speciality | Acupuncturist |
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Location | 750 Central Ave, Willits, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548374754
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 07/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 6406072511
- Enrollment ID: I20140725001946
Medical Identifiers
Medical identifiers for Ms M Kathryn Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548374754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 14582 (California) | Secondary |
171100000X | Acupuncturist | AC3224 (California) | Primary |
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. Ms M Kathryn 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 |
Ms M Kathryn Black, LAC 750 Central Ave, Willits, CA 95490-3938 Ph: (707) 459-5744 | Ms M Kathryn Black, LAC 750 Central Ave, Willits, CA 95490-3938 Ph: (707) 459-5744 |
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