Kellam Black, SLP - Speech-Language Pathologist in Jacksonville, FL

Kellam Black, SLP is a Speech-language Pathologist based in Jacksonville, Florida. Kellam Black is licensed to practice in Florida (license number SA8959) and her current practice location is 14550 Old Saint Augustine Rd, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 271-6575.

NPI number for Kellam Black is 1255872024 and her current mailing address is 126 Glen Eagles Ct, Ponte Vedra Beach, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255872024.

Contact Information

Kellam Black, SLP
14550 Old Saint Augustine Rd,
Jacksonville, FL 32258-2460
(904) 271-6575
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKellam Black
GenderFemale
SpecialitySpeech-language Pathologist
Location14550 Old Saint Augustine Rd, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255872024
  • Provider Enumeration Date: 03/13/2017
  • Last Update Date: 03/13/2017

Medical Identifiers

Medical identifiers for Kellam Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255872024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SA8959 (Florida)Primary

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. Kellam Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellam Black, SLP
126 Glen Eagles Ct,
Ponte Vedra Beach, FL 32082-3613

Ph: (904) 477-9351
Kellam Black, SLP
14550 Old Saint Augustine Rd,
Jacksonville, FL 32258-2460

Ph: (904) 271-6575

Reviews and Comments


Speech-Language Pathologist in Jacksonville, FL

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Phone: 904-886-3228    Fax: 904-886-3297
Speech & Hearing Center, Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 1010 N Davis St Ste 101, Jacksonville, FL 32209
Phone: 904-355-3403    Fax: 904-355-4149

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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