Ms Alicen Mariah Black, is a
Dietitian, Registered based in Seven Fields, Pennsylvania. Ms Alicen Mariah Black is licensed to practice in Ohio (license number LD.09784) and her current practice location is
126 Mosside Loop, Seven Fields, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(551) 579-0052.
NPI number for Ms Alicen Mariah Black is 1528951803 and her current mailing address is 126 Mosside Loop, Seven Fields, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528951803.
Healthcare Provider's Profile
| Full Name | Ms Alicen Mariah Black |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 126 Mosside Loop, Seven Fields, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528951803
- Provider Enumeration Date: 06/03/2025
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Ms Alicen Mariah Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528951803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 61458981 (Washington) | Secondary |
| 133V00000X | Dietitian, Registered | 5281-29 (Wisconsin) | Secondary |
| 133V00000X | Dietitian, Registered | 1595 (West Virginia) | Secondary |
| 133V00000X | Dietitian, Registered | DT88876 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | 37003888A (Indiana) | Secondary |
| 133V00000X | Dietitian, Registered | 2959 (Kansas) | Secondary |
| 133V00000X | Dietitian, Registered | LDN01343 (Rhode Island) | Secondary |
| 133V00000X | Dietitian, Registered | 5236 (Alabama) | Secondary |
| 133V00000X | Dietitian, Registered | 4636 (Tennessee) | Secondary |
| 133V00000X | Dietitian, Registered | LD.09784 (Ohio) | 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. Ms Alicen Mariah Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Alicen Mariah Black,
126 Mosside Loop,
Seven Fields, PA 16046-7910
Ph: (551) 579-0052 | Ms Alicen Mariah Black,
126 Mosside Loop,
Seven Fields, PA 16046-7910
Ph: (551) 579-0052 |
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