Deborah Domal Black, PT in Florence, KY - Medicare Physical Therapist Provider

Deborah Domal Black, PT is a medicare enrolled "Physical Therapist" provider in Florence, Kentucky. Her current practice location is 212 Main St, Florence, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 980-7200.

Deborah Domal Black is licensed to practice in * (Not Available) (license number ) 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 1568199214.

Contact Information

	Deborah Domal Black, PT
	212 Main St, Florence, KY 41042-2269
	(859) 980-7200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Deborah Domal Black
Gender	Female
Speciality	Physical Therapist
Location	212 Main St, Florence, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568199214
Provider Enumeration Date: 08/03/2022
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 0345625323
Enrollment ID: I20220912000914

Medical Identifiers

Medical identifiers for Deborah Domal Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568199214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Deborah Domal Black allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770054686 PECOS PAC ID: 6507832573 Enrollment ID: O20190211002009

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. Deborah Domal 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
Deborah Domal Black, PT 2628 Legacy Rdg, Florence, KY 41042-8403 Ph: (859) 466-4923	Deborah Domal Black, PT 212 Main St, Florence, KY 41042-2269 Ph: (859) 980-7200

Reviews and Comments

Physical Therapist in Florence, KY

Matthew Stevens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8726 Us 42, Florence, KY 41042 Phone: 859-301-2663 Fax: 859-817-7848
Prof. Marsha A Eifert-mangine, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7570 Us 42, Florence, KY 41042 Phone: 859-283-0707
Kathryn Louise Yeager, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Meijer Dr Ste 104, Florence, KY 41042 Phone: 859-538-1165 Fax: 859-538-1164
Mr. Dale B Brockman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Oblique St, Florence, KY 41042 Phone: 859-371-1929 Fax: 859-371-2581
Better Movement Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8177 Mall Rd, Florence, KY 41042 Phone: 502-387-0224
Alexander Contner, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9671 Manassas Dr, Florence, KY 41042 Phone: 859-493-1660
David P Feeley, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Meijer Dr, Ste. 104, Florence, KY 41042 Phone: 859-538-1165 Fax: 859-538-1164

Deborah Domal Black, PT - Medicare Physical Therapist in Florence, KY