Harold Micagah Black, CRNA in Fairfax, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Harold Micagah Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfax, Virginia. He went to George Washington University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Reston Anesthesia Associates Pc and his current practice location is 3600 Joseph Siewick Dr, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 391-3129.

Harold Micagah Black is licensed to practice in Virginia (license number 0024070513) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831198084.

Contact Information

	Harold Micagah Black, CRNA
	3600 Joseph Siewick Dr, Fairfax, VA 22033-1709
	(703) 391-3129
	(703) 295-9369

Map and Direction

Provider's Profile

Full Name	Harold Micagah Black
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	40 Years
Location	3600 Joseph Siewick Dr, Fairfax, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Harold Micagah Black attended and graduated from George Washington University School Of Medicine in 1984

NPI Data:

NPI Number: 1831198084
Provider Enumeration Date: 07/19/2005
Last Update Date: 09/09/2008

Medicare PECOS Information:

PECOS PAC ID: 0446273957
Enrollment ID: I20101116000227

Medical Identifiers

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

Identifier	Type	State	Issuer
1831198084	NPI	-	NPPES
139180	Other	VA	ANTHEM
1831198084	Medicaid	VA
298077	Other	VA	AMERIGROUP
K142-0002	Other	DC	CAREFIRST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024070513 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Reston Hospital Center	Reston, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Reston Anesthesia Associates Pc	2567361124	55

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. Harold Micagah Black allows following entities to bill medicare on his behalf.

Entity Name	Reston Anesthesia Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932210093 PECOS PAC ID: 2567361124 Enrollment ID: O20040102000829

Entity Name	Capitol Anesthesia Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194106955 PECOS PAC ID: 3274848320 Enrollment ID: O20150818005376

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. Harold Micagah 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
Harold Micagah Black, CRNA Po Box 37090, Baltimore, MD 21297-3090 Ph: (703) 295-9360	Harold Micagah Black, CRNA 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: (703) 391-3129

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fairfax, VA

Melissa K Hersch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129
Kaley Lanzetta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-391-3006
Kelsey Schulman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Ahmed Rauf Qureshi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-293-9590 Fax: 703-295-9369
Ms. Christine B Culhane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Timothy J Rathbun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Ms. Carmen Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369

Harold Micagah Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fairfax, VA