Dr Anna Katherine Black, PHD in Burke, VA - Medicare Clinical Psychologist Provider

Dr Anna Katherine Black, PHD is a medicare enrolled "Psychologist - Clinical" provider in Burke, Virginia. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Delta Autumn Consulting, Llc and her current practice location is 5244 Lyngate Ct Ste 200, Burke, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 910-2577.

Dr Anna Katherine Black is licensed to practice in Mississippi (license number 60-1047) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841674421.

Contact Information

	Dr Anna Katherine Black, PHD
	5244 Lyngate Ct Ste 200, Burke, VA 22015-1631
	(703) 910-2577
	(703) 661-9463

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Anna Katherine Black
Gender	Female
Speciality	Clinical Psychologist
Experience	6 Years
Location	5244 Lyngate Ct Ste 200, Burke, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Anna Katherine Black graduated from medical school in 2018

NPI Data:

NPI Number: 1841674421
Provider Enumeration Date: 07/14/2015
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7517393697
Enrollment ID: I20200210000451

Medical Identifiers

Medical identifiers for Dr Anna Katherine Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841674421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	60-1047 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Delta Autumn Consulting, Llc	0042480410	3

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 Anna Katherine Black allows following entities to bill medicare on her behalf.

Entity Name	Delta Autumn Consulting, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811288533 PECOS PAC ID: 0042480410 Enrollment ID: O20110823000750

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 Anna Katherine 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 Anna Katherine Black, PHD Po Box 154, Fairfax Station, VA 22039-0154 Ph: (703) 910-2577	Dr Anna Katherine Black, PHD 5244 Lyngate Ct Ste 200, Burke, VA 22015-1631 Ph: (703) 910-2577

Reviews and Comments

Psychologist in Burke, VA

Jessica Machado, MA, CAGS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9645 Burke Lake Rd, Burke, VA 22015 Phone: 703-426-7370
Tiffany Duffing, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5244 Lyngate Ct Ste 200, Burke, VA 22015 Phone: 813-210-7584
Amy Zacaroli, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9900 Old Keene Mill Rd, Burke, VA 22015 Phone: 703-250-2450
Dr. Thuy Pham, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5244 Lyngate Court, Suite 200, Burke, VA 22015 Phone: 703-910-2577 Fax: 703-661-9463
Kimberly Wesley, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5244 Lyngate Ct # 200, Burke, VA 22015 Phone: 703-910-2577
Dr. Janet W Eig, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5244 Lyngate Ct Ste 200, Burke, VA 22015 Phone: 703-910-2577 Fax: 703-661-9463
Ms. Davina Gabriela, LCSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5999 Burke Commons Rd, Burke, VA 22015 Phone: 703-249-7200 Fax: 703-249-7250

Dr Anna Katherine Black, PHD - Medicare Psychologist in Burke, VA