Dr Shannon Trice Black, PHD, LPC is a medicare enrolled "Counselor - Mental Health" provider in Manakin Sabot, Virginia. She graduated from healthcare school in 2009 and has 17 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
1900 Manakin Rd Ste G, Manakin Sabot, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 305-4642.
Dr Shannon Trice Black is licensed to practice in Virginia (license number 0701003122) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528448271.
Healthcare Provider's Profile
| Full Name | Dr Shannon Trice Black |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 17 Years |
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| Location | 1900 Manakin Rd Ste G, Manakin Sabot, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shannon Trice Black graduated from medical school in 2009
NPI Data:
- NPI Number: 1528448271
- Provider Enumeration Date: 06/08/2015
- Last Update Date: 11/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 2668837964
- Enrollment ID: I20260508001154
Medical Identifiers
Medical identifiers for Dr Shannon Trice Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528448271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 0701003122 (Virginia) | 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. Dr Shannon Trice 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 |
|---|
Dr Shannon Trice Black, PHD, LPC
1900 Manakin Rd, Suite G,
Manakin Sabot, VA 23103-2252
Ph: (804) 305-4642 | Dr Shannon Trice Black, PHD, LPC
1900 Manakin Rd Ste G,
Manakin Sabot, VA 23103-2252
Ph: (804) 305-4642 |
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