Chastity Black, DC in Southaven, MS - Medicare Chiropractor Provider

Chastity Black, DC is a medicare enrolled "Chiropractor" provider in Southaven, Mississippi. Her current practice location is 1630 Goodman Rd E Ste 3, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 217-7173.

Chastity Black is licensed to practice in Mississippi (license number 1398) 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 1184452187.

Contact Information

	Chastity Black, DC
	1630 Goodman Rd E Ste 3, Southaven, MS 38671-9556
	(901) 217-7173
	(662) 932-8774

Map and Direction

Healthcare Provider's Profile

Full Name	Chastity Black
Gender	Female
Speciality	Chiropractor
Location	1630 Goodman Rd E Ste 3, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184452187
Provider Enumeration Date: 07/23/2024
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 7810435245
Enrollment ID: I20240816002323

Medical Identifiers

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

Identifier	Type	State	Issuer
1184452187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	3873 (Tennessee)	Secondary
111N00000X	Chiropractor	1398 (Mississippi)	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. Chastity Black allows following entities to bill medicare on her behalf.

Provider Name	The Chiro Place Of Collierville Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609234657 PECOS PAC ID: 1951600428 Enrollment ID: O20210902002882

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. Chastity 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
Chastity Black, DC 8101 Hacks Cross Rd Ste 110, Olive Branch, MS 38654-4032 Ph: (901) 221-7173	Chastity Black, DC 1630 Goodman Rd E Ste 3, Southaven, MS 38671-9556 Ph: (901) 217-7173

Reviews and Comments

Chiropractor in Southaven, MS

Dr. Trevor Lamar Qualls, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7651 Tchulahoma Rd, Southaven, MS 38671 Phone: 662-349-0980 Fax: 662-349-0990
Dc Direct Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8332 Park Pike, Southaven, MS 38671 Phone: 901-486-3559
Bakeris Chriopractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6898 Elmore Rd, Southaven, MS 38671 Phone: 662-349-3499 Fax: 662-349-1314
Dr. Tyler Lane Qualls, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7651 Tchulahoma Rd, Southaven, MS 38671 Phone: 662-349-0980 Fax: 662-349-0990
Dr. David Michael Bakeris, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6898 Elmore Rd, Southaven, MS 38671 Phone: 662-349-3499
Dr. David Chadwick Hall Ii, D.C (CHIROPRACTOR) Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1134 Church Rd W, Southaven, MS 38671 Phone: 662-393-4848 Fax: 662-393-4858

Chastity Black, DC - Medicare Chiropractor in Southaven, MS