Clayton Black, - Medicare Counselor in Bend, OR

Clayton Black, is a medicare enrolled "Counselor - Mental Health" provider in Bend, Oregon. His current practice location is 20370 Poe Sholes Dr, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 318-1377.

Clayton Black is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033624317.

Contact Information

Clayton Black,
20370 Poe Sholes Dr,
Bend, OR 97703-7938
(541) 318-1377
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameClayton Black
GenderMale
SpecialityCounselor - Mental Health
Location20370 Poe Sholes Dr, Bend, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033624317
  • Provider Enumeration Date: 12/07/2017
  • Last Update Date: 12/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6709230014
  • Enrollment ID: I20240122001434

Medical Identifiers

Medical identifiers for Clayton Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033624317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))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. Clayton Black allows following entities to bill medicare on his behalf.
Entity NameCodac Health Recovery And Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033156567
PECOS PAC ID: 6103813811
Enrollment ID: O20040426001693

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. Clayton 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 AddressPractice Location Address
Clayton Black,
20370 Poe Sholes Dr,
Bend, OR 97703-7938

Ph: (541) 318-1377
Clayton Black,
20370 Poe Sholes Dr,
Bend, OR 97703-7938

Ph: (541) 318-1377

Reviews and Comments


Counselor in Bend, OR

Mr. Joshua Seth Wilson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 63360 Nw Britta St Ste 1, Bend, OR 97701
Phone: 541-318-4845    
Joanne White,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701
Phone: 541-322-7500    Fax: 541-322-7565
Jenny Marie Wolleat,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1646 Ne Edgecliff Cir, Bend, OR 97701
Phone: 971-506-5366    
Cara Miller,
Counselor
Medicare: Medicare Enrolled
Practice Location: 20370 Poe Sholes Dr, Bend, OR 97701
Phone: 541-318-1377    
Mrs. Stacy Ann Campbell, LPC, RPT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 25 Nw Park Pl, Bend, OR 97703
Phone: 208-577-1595    Fax: 541-640-5538
Dr. Ryan F Reese, PHD
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 925 Nw Wall St, Bend, OR 97703
Phone: 541-241-6575    
Corey May, MS, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 354 Ne Greenwood Ave Ste 215, Bend, OR 97701
Phone: --    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

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