Mrs Gloria Gilbert Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Fairfax, Virginia. Her current practice location is
3600 Joseph Siewick Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 295-9360.
Mrs Gloria Gilbert Black is licensed to practice in Virginia (license number 0024076529) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003815267.
Physician's Profile
Full Name | Mrs Gloria Gilbert Black |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3600 Joseph Siewick Dr, Fairfax, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Gloria Gilbert Black attended and graduated from in
NPI Data:
- NPI Number: 1003815267
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 02/21/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Gloria Gilbert Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003815267 | NPI | - | NPPES |
1003815267 | Medicaid | VA | |
296621 | Other | VA | AMERIGROUP |
K142-0002 | Other | VA | CAREFIRST |
139180 | Other | VA | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 0024076529 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024076529 (Virginia) | 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. Mrs Gloria Gilbert 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 |
Mrs Gloria Gilbert Black, CRNA Po Box 37090, Baltimore, MD 21297-3090 Ph: (703) 295-9360 | Mrs Gloria Gilbert Black, CRNA 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: (703) 295-9360 |
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