Maggie Black, PSYD in Old Saybrook, CT - Medicare Clinical Psychologist Provider

Maggie Black, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Old Saybrook, Connecticut. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Shore Neurocognitive Health Llc and her current practice location is 20 Research Pkwy, Old Saybrook, Connecticut. You can reach out to her office (for appointments etc.) via phone at (800) 370-3651.

Maggie Black is licensed to practice in Maryland (license number 04855) 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 1285912550.

Contact Information

	Maggie Black, PSYD
	20 Research Pkwy, Old Saybrook, CT 06475-4214
	(800) 370-3651
	(860) 510-0020

Map and Direction

Healthcare Provider's Profile

Full Name	Maggie Black
Gender	Female
Speciality	Clinical Psychologist
Experience	14 Years
Location	20 Research Pkwy, Old Saybrook, Connecticut
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:

Maggie Black graduated from medical school in 2010

NPI Data:

NPI Number: 1285912550
Provider Enumeration Date: 08/03/2011
Last Update Date: 08/03/2011

Medicare PECOS Information:

PECOS PAC ID: 5092985242
Enrollment ID: I20110826000457

Medical Identifiers

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

Identifier	Type	State	Issuer
1285912550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	04855 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shore Neurocognitive Health Llc	0749566214	5

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. Maggie Black allows following entities to bill medicare on her behalf.

Entity Name	Shore Neurocognitive Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972043750 PECOS PAC ID: 0749566214 Enrollment ID: O20170418000235

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. Maggie 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
Maggie Black, PSYD 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204-2600 Ph: (410) 832-2729	Maggie Black, PSYD 20 Research Pkwy, Old Saybrook, CT 06475-4214 Ph: (800) 370-3651

Reviews and Comments

Psychologist in Old Saybrook, CT

Dr. Ann Louise Vandermaelen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 191 Main St, Suite 2, Old Saybrook, CT 06475 Phone: 860-388-3844 Fax: 860-388-1689
Marguerite Ruppenicker, PH. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 49 Sherwood Ter, Basement Level, Old Saybrook, CT 06475 Phone: 860-388-9882 Fax: 860-388-9882
Dr. Mark David Aron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 263 Main St, Suite 304, Old Saybrook, CT 06475 Phone: 860-388-1313
Carla Ratti, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020
Dr. Leonard G. Guitar, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 154 Main St, Old Saybrook, CT 06475 Phone: 860-358-3923 Fax: 860-510-0628
Douglas Dufore, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 633 Middlesex Tpke, Suite 110, Old Saybrook, CT 06475 Phone: 860-510-0225 Fax: 860-395-1647
Dr. Debra Ellen Mashberg, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0763

Maggie Black, PSYD - Medicare Psychologist in Old Saybrook, CT