Dr Erica M Black, PSYD in Clifton Park, NY - Medicare Psychologist Provider

Dr Erica M Black, PSYD is a medicare enrolled "Psychologist" provider in Clifton Park, New York. Her current practice location is 636 Plank Rd, Suite 107a, Clifton Park, New York. You can reach out to her office (for appointments etc.) via phone at (518) 951-9489.

Dr Erica M Black is licensed to practice in New York (license number 016246-1) 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 1356549463.

Contact Information

	Dr Erica M Black, PSYD
	636 Plank Rd, Suite 107a, Clifton Park, NY 12065-2042
	(518) 951-9489
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Erica M Black
Gender	Female
Speciality	Psychologist
Location	636 Plank Rd, Clifton Park, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356549463
Provider Enumeration Date: 07/10/2007
Last Update Date: 10/22/2012

Medicare PECOS Information:

PECOS PAC ID: 8527335173
Enrollment ID: I20190618002339

Medical Identifiers

Medical identifiers for Dr Erica M Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356549463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	016246-1 (New York)	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 Erica M Black allows following entities to bill medicare on her behalf.

Entity Name	State Of New York Comptrollers Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800

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 Erica M 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 Erica M Black, PSYD 636 Plank Rd, Suite 107a, Clifton Park, NY 12065-2042 Ph: (518) 951-9489	Dr Erica M Black, PSYD 636 Plank Rd, Suite 107a, Clifton Park, NY 12065-2042 Ph: (518) 951-9489

Reviews and Comments

Psychologist in Clifton Park, NY

Dr. Erin Cook, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 489 Clifton Park Ctr Rd, Clifton Park, NY 12065 Phone: 518-744-1405
Mrs. Jennifer Ann Louis-brown, M.A., CAS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 39 Cambridge Ave, Clifton Park, NY 12065 Phone: 518-348-0389
Dr. Andrew Berry, PH.D., PSY.D., ABPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 632 Plank Road, Suite 209, Clifton Park, NY 12065 Phone: 518-587-4161
Dr. Robert Allan Butz Jr., PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 20 Longwood Dr, Clifton Park, NY 12065 Phone: 518-371-7540
Carolyn Cassels, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 515 Moe Rd, Clifton Park, NY 12065 Phone: 518-280-4924
Dr. Michelle Lynn Grimes, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1539 Crescent Rd, Clifton Park, NY 12065 Phone: 518-527-9037
Dr. Carol Atwater, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 945 Route 146, Clifton Park, NY 12065 Phone: 518-383-8889 Fax: 518-383-8881

Dr Erica M Black, PSYD - Medicare Psychologist in Clifton Park, NY