Dr Ellis Luca Black, MD - Medicare Psychiatry & Neurology in Seattle, WA

Dr Ellis Luca Black, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Seattle, Washington. Her current practice location is 2711 E Madison St Ste 204, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 984-3924.

Dr Ellis Luca Black is licensed to practice in Washington (license number MD60937058) 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 1013395904.

Contact Information

Dr Ellis Luca Black, MD
2711 E Madison St Ste 204,
Seattle, WA 98112-4763
(206) 984-3924
(206) 339-1776

Map and Direction




Physician's Profile

Full NameDr Ellis Luca Black
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location2711 E Madison St Ste 204, Seattle, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013395904
  • Provider Enumeration Date: 05/11/2015
  • Last Update Date: 03/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406125186
  • Enrollment ID: I20200825002144

Medical Identifiers

Medical identifiers for Dr Ellis Luca Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013395904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry MD60937058 (Washington)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MD60937058 (Washington)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. Dr Ellis Luca Black allows following entities to bill medicare on her behalf.
Entity NameThe Association Of University Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023041159
PECOS PAC ID: 0446162697
Enrollment ID: O20031105000244
Entity NameThe Association Of Chrmc And University Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255449963
PECOS PAC ID: 9133032964
Enrollment ID: O20031107000585

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 Ellis Luca 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
Dr Ellis Luca Black, MD
2711 E Madison St Ste 204,
Seattle, WA 98112-4763

Ph: (206) 984-3924
Dr Ellis Luca Black, MD
2711 E Madison St Ste 204,
Seattle, WA 98112-4763

Ph: (206) 984-3924

Reviews and Comments


Psychiatry & Neurology Doctors in Seattle, WA

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Julia H Murray,
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Phone: 206-215-1440    Fax: 206-215-1441
Dr. Lee-loung Liou, MD, PHD
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Practice Location: 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195
Phone: 206-543-0065    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.