Alyssa Gail Black, DO in Olive Hill, KY - Medicare Family Medicine

Alyssa Gail Black, DO is a medicare enrolled "Family Medicine" physician in Olive Hill, Kentucky. Her current practice location is 155 Bricklayer St, Olive Hill, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 286-4152.

Alyssa Gail Black is licensed to practice in Kentucky (license number 05595) 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 1497383400.

Contact Information

	Alyssa Gail Black, DO
	155 Bricklayer St, Olive Hill, KY 41164-1268
	(606) 286-4152
	(606) 286-2385

Map and Direction

Physician's Profile

Full Name	Alyssa Gail Black
Gender	Female
Speciality	Family Medicine
Location	155 Bricklayer St, Olive Hill, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497383400
Provider Enumeration Date: 03/27/2020
Last Update Date: 06/06/2025

Medicare PECOS Information:

PECOS PAC ID: 3678976552
Enrollment ID: I20230725002405

Medical Identifiers

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

Identifier	Type	State	Issuer
1497383400	NPI	-	NPPES
05595	Other	KY	STATE
7100762470	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	05595 (Kentucky)	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. Alyssa Gail Black allows following entities to bill medicare on her behalf.

Entity Name	St. Claire Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821168535 PECOS PAC ID: 4486559085 Enrollment ID: O20031205000579

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. Alyssa Gail 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
Alyssa Gail Black, DO 234 Medical Cir, Morehead, KY 40351-1194 Ph: (606) 780-5330	Alyssa Gail Black, DO 155 Bricklayer St, Olive Hill, KY 41164-1268 Ph: (606) 286-4152

Reviews and Comments

Family Medicine Doctors in Olive Hill, KY

Paul R Lewis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 391 W Tom T Hall Blvd, Olive Hill, KY 41164 Phone: 606-286-8039 Fax: 606-286-6108
Elizabeth L Matera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Bricklayer Street, Olive Hill, KY 41164 Phone: 606-286-4152 Fax: 606-286-2385
Dr. Clarence Franklin Lyons Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 Short Rdg, Olive Hill, KY 41164 Phone: 606-286-5065
Carolyn Moore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Bricklayer Street, Olive Hill, KY 41164 Phone: 606-286-4152 Fax: 606-286-2385
Rachel Short, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 153 W Tom T Hall Blvd, Olive Hill, KY 41164 Phone: 606-898-3982
Allie Caudill, Family Medicine Medicare: Medicare Enrolled Practice Location: 391 W Tom T Hall Blvd, Olive Hill, KY 41164 Phone: 606-286-8039 Fax: 606-286-6108

Alyssa Gail Black, DO - Medicare Family Medicine in Olive Hill, KY