Elizabeth Anne Renee Black, LLPC in Traverse City, MI

Elizabeth Anne Renee Black, LLPC is a medicare enrolled "Counselor - Mental Health" provider in Traverse City, Michigan. Her current practice location is 1000 Hastings St, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 947-8110.

Elizabeth Anne Renee Black is licensed to practice in Michigan (license number 6401013136) 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 1841854973.

Contact Information

	Elizabeth Anne Renee Black, LLPC
	1000 Hastings St, Traverse City, MI 49686-3445
	(231) 947-8110
	(231) 947-3522

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Anne Renee Black
Gender	Female
Speciality	Counselor - Mental Health
Location	1000 Hastings St, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841854973
Provider Enumeration Date: 04/24/2019
Last Update Date: 04/24/2019

Medicare PECOS Information:

PECOS PAC ID: 4789027251
Enrollment ID: I20240212003435

Medical Identifiers

Medical identifiers for Elizabeth Anne Renee Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841854973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401013136 (Michigan)	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. Elizabeth Anne Renee Black allows following entities to bill medicare on her behalf.

Entity Name	Catholic Human Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497716047 PECOS PAC ID: 4880586494 Enrollment ID: O20040329000192

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. Elizabeth Anne Renee 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
Elizabeth Anne Renee Black, LLPC 1000 Hastings St, Traverse City, MI 49686-3445 Ph: (231) 947-8110	Elizabeth Anne Renee Black, LLPC 1000 Hastings St, Traverse City, MI 49686-3445 Ph: (231) 947-8110

Reviews and Comments

Counselor in Traverse City, MI

Kimberly Manrique, M.S, L.P.C., A.T.R Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Deer Trail Dr, Traverse City, MI 49684 Phone: 231-709-3177
Breanne Ashly Pedersen, Counselor Medicare: Medicare Enrolled Practice Location: 3298 Veterans Dr Ste 1, Traverse City, MI 49684 Phone: 231-715-8466 Fax: 231-943-2263
Ms. Angela Lynn Merriman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1844 Oak Hollow Dr Ste B, Traverse City, MI 49686 Phone: 231-714-0282
Deanne R Briggs, LPC, CAC III Counselor Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6380 Fax: 231-935-6920
Mrs. Emily Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Lake Leelanau Dr, Traverse City, MI 49684 Phone: 231-649-2126
Terry Gorton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E 8th St, Traverse City, MI 49684 Phone: 231-346-5221 Fax: 231-922-2095
Jeanette Fay Peltola, PLC,MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 968 Harbor Ct, Traverse City, MI 49685 Phone: 231-632-1370

Elizabeth Anne Renee Black, LLPC - Medicare Counselor in Traverse City, MI