Leslie C Black, MS,CCC/SLP is a medicare enrolled "Speech-language Pathologist" provider in Scotts Valley, California. Her current practice location is
1421 Whispering Pines Drive, Scotts Valley, California. You can reach out to her office (for appointments etc.) via phone at
(831) 204-1908.
Leslie C Black is licensed to practice in California (license number 13417) 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 1972760015.
Healthcare Provider's Profile
Full Name | Leslie C Black |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1421 Whispering Pines Drive, Scotts Valley, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972760015
- Provider Enumeration Date: 05/16/2008
- Last Update Date: 03/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749668341
- Enrollment ID: I20220610001401
Medical Identifiers
Medical identifiers for Leslie C Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972760015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 13417 (California) | 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. Leslie C Black allows following entities to bill medicare on her behalf.
Provider Name | Speech Therapy Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1962150052 PECOS PAC ID: 5496133092 Enrollment ID: O20220610001260 |
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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. Leslie C 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 |
Leslie C Black, MS,CCC/SLP 2460 17th Ave Ste 1041, Santa Cruz, CA 95062-1860 Ph: (831) 204-1908 | Leslie C Black, MS,CCC/SLP 1421 Whispering Pines Drive, Scotts Valley, CA 95066 Ph: (831) 204-1908 |
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