Lorraine Black, PMHNP in Saint Petersburg, FL

Lorraine Black, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Petersburg, Florida. Her current practice location is 7901 4th St N Ste 300, Saint Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 280-4834.

Lorraine Black is licensed to practice in Florida (license number APRN11020305) 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 1104557412.

Contact Information

	Lorraine Black, PMHNP
	7901 4th St N Ste 300, Saint Petersburg, FL 33702-4399
	(850) 280-4834
	(850) 639-4705

Map and Direction

Provider's Profile

Full Name	Lorraine Black
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7901 4th St N Ste 300, Saint Petersburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104557412
Provider Enumeration Date: 06/19/2022
Last Update Date: 04/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6800271685
Enrollment ID: I20220914002401

Medical Identifiers

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

Identifier	Type	State	Issuer
1104557412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11020305 (Florida)	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. Lorraine Black allows following entities to bill medicare on her behalf.

Entity Name	Direct Access Counseling & Supportive Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520

Entity Name	Peoples Healthcare Connection Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497913883 PECOS PAC ID: 2860747425 Enrollment ID: O20180622000447

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. Lorraine 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
Lorraine Black, PMHNP Po Box 104, Niceville, FL 32588-0104 Ph: (850) 661-4731	Lorraine Black, PMHNP 7901 4th St N Ste 300, Saint Petersburg, FL 33702-4399 Ph: (850) 280-4834

Reviews and Comments

Nurse Practitioner Nurses in Saint Petersburg, FL

Miss Whitnie Saron Padron, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5200 Seminole Blvd, Saint Petersburg, FL 33708 Phone: 727-392-3376 Fax: 727-897-5263
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Andrew Moen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 7th Ave N, Saint Petersburg, FL 33705 Phone: 727-825-1100
Deborah R Johnson-eady, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5454 Central Ave Ste A, Saint Petersburg, FL 33707 Phone: 727-347-5242 Fax: 727-347-2402

Lorraine Black, PMHNP - Medicare Nurse Practitioner in Saint Petersburg, FL