Sydney K Black, in Florence, KY - Medicare Psychologist Provider

Sydney K Black, is a medicare enrolled "Psychologist" provider in Florence, Kentucky. Her current practice location is 4900 Houston Rd, Florence, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 301-5901.

Sydney K Black is licensed to practice in Kentucky (license number 281387) 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 1942913728.

Contact Information

	Sydney K Black,
	4900 Houston Rd, Florence, KY 41042-4824
	(859) 301-5901
	(859) 301-5940

Map and Direction

Healthcare Provider's Profile

Full Name	Sydney K Black
Gender	Female
Speciality	Psychologist
Location	4900 Houston Rd, 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: 1942913728
Provider Enumeration Date: 12/27/2022
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 3779947205
Enrollment ID: I20230915002219

Medical Identifiers

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

Identifier	Type	State	Issuer
1942913728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	281387 (Kentucky)	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. Sydney K Black allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738

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. Sydney K 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
Sydney K Black, Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555	Sydney K Black, 4900 Houston Rd, Florence, KY 41042-4824 Ph: (859) 301-5901

Reviews and Comments

Psychologist in Florence, KY

Kirk David Little, PSY.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 6900 Houston Rd, Building 500, Suite 11, Florence, KY 41042 Phone: 859-525-4911 Fax: 859-525-6446
Dr. Teresa G Izquierdo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7413 Us Highway 42 Ste 3, Florence, KY 41042 Phone: 859-869-4463 Fax: 859-869-4476
Debra K. Goran, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 6900 Houston Rd., Bldg. 500, Ste 11, Florence, KY 41042 Phone: 859-525-4911 Fax: 859-525-6446
Kallye Joanah Renner, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 7426 Us 42 Ste 106, Florence, KY 41042 Phone: 859-282-0119
Janell Deanne Giannitelli, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 7459 Burlington Pike, Florence, KY 41042 Phone: 859-525-5808 Fax: 859-525-6342
Dr. Michael G Downer, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7459 Burlington Pike, Florence, KY 41042 Phone: 859-282-6585 Fax: 859-282-0532
Melissa Anne Adamchik, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7459 Burlington Pike, Florence, KY 41042 Phone: 859-525-6808 Fax: 859-525-6342

Sydney K Black, - Medicare Psychologist in Florence, KY