Lora J Black, OT is a medicare enrolled "Homemaker" provider in Lebanon, Ohio. Her current practice location is
6250 Fox Tail Dr, Lebanon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 478-6605.
Lora J Black is licensed to practice in * (Not Available) (license number ) 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 1154455475.
Healthcare Provider's Profile
| Full Name | Lora J Black |
|---|
| Gender | Female |
|---|
| Speciality | Homemaker |
|---|
| Location | 6250 Fox Tail Dr, Lebanon, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1154455475
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 05/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446264774
- Enrollment ID: I20060126000020
Medical Identifiers
Medical identifiers for Lora J Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154455475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 532 (Ohio) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | 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. Lora J Black allows following entities to bill medicare on her behalf.
| Provider Name | Orthopedic Associates Of Sw Ohio Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1447422118
PECOS PAC ID: 9638258874
Enrollment ID: O20080430000010 |
|---|
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. Lora J 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 |
|---|
Lora J Black, OT
6250 Fox Tail Dr,
Lebanon, OH 45036-7596
Ph: (937) 478-6605 | Lora J Black, OT
6250 Fox Tail Dr,
Lebanon, OH 45036-7596
Ph: (937) 478-6605 |
Reviews and Comments