| Angelique V Black, PA | |
|
1850 Town Center Parkway, Suite 400, Reston, VA 20190 | |
| (703) 689-0300 | |
| (703) 787-9664 |
| Full Name | Angelique V Black |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1850 Town Center Parkway, Reston, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932127644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110002122 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique V Black, PA 11240 Waples Mill Road, Suite 403, Fairfax, VA 22030 Ph: (703) 246-8080 | Angelique V Black, PA 1850 Town Center Parkway, Suite 400, Reston, VA 20190 Ph: (703) 689-0300 |
Priscilla Khai-linh Nguyen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1860 Town Center Dr Ste 335, Reston, VA 20190 Phone: 703-787-3322 Fax: 703-787-3380 | |
Mrs. Julieanne Bonner Sugg, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 11357 Sunset Hills Rd, Reston, VA 20190 Phone: 703-435-5858 Fax: 703-435-5877 | |
Ian Jacob Henry, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9000 | |
Erik A Larsen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Parkway, Suite 400, Reston, VA 20190 Phone: 703-810-5202 Fax: 703-787-9664 | |
Colin Phillips, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9000 | |
Thao Nguyen Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1831 Wiehle Ave, Suite 200, Reston, VA 20190 Phone: 703-709-1114 Fax: 703-709-6516 | |
Mr. Nickolas Patrick Forsberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191 Phone: 703-709-1114 |