Dr Taylor Michelle Black, PHD in Conway, AR - Medicare Psychologist Provider

Dr Taylor Michelle Black, PHD is a medicare enrolled "Psychologist - Clinical" provider in Conway, Arkansas. Her current practice location is 2220 Washington Ave, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 679-0232.

Dr Taylor Michelle Black is licensed to practice in Arkansas (license number 202118) 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 1447922935.

Contact Information

	Dr Taylor Michelle Black, PHD
	2220 Washington Ave, Conway, AR 72032-2762
	(501) 679-0232
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Taylor Michelle Black
Gender	Female
Speciality	Psychologist - Clinical
Location	2220 Washington Ave, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447922935
Provider Enumeration Date: 10/02/2021
Last Update Date: 10/29/2022

Medicare PECOS Information:

PECOS PAC ID: 9436526969
Enrollment ID: I20221112000058

Medical Identifiers

Medical identifiers for Dr Taylor Michelle Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447922935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	202118 (Arkansas)	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 Taylor Michelle Black allows following entities to bill medicare on her behalf.

Entity Name	Heal Within Counseling And Consulting Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982290763 PECOS PAC ID: 0244648764 Enrollment ID: O20210422001742

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 Taylor Michelle 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 Taylor Michelle Black, PHD 540 Cherub Dr, Conway, AR 72034-3363 Ph: () -	Dr Taylor Michelle Black, PHD 2220 Washington Ave, Conway, AR 72032-2762 Ph: (501) 679-0232

Reviews and Comments

Psychologist in Conway, AR

Susan Sobel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034
Mrs. Cariann M Bergner-moore, PSYD/PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1312 Donaghey Ave, Conway, AR 72034 Phone: 501-358-6606
Wendi Elliott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034
Kimberly Ann Callaway Gentry, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-358-6396
Susan E Schaefer, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572
Sarah Lindeman Root, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Bob Courtway Dr Ste 9, Conway, AR 72032 Phone: 501-812-4268
Ms. Samantha Sewell Short, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-358-6396 Fax: 501-588-0484

Dr Taylor Michelle Black, PHD - Medicare Psychologist in Conway, AR