Charles Glenn Black, PT in Severn, MD - Medicare Physical Therapy Provider

Charles Glenn Black, PT is a medicare enrolled "Physical Therapist" provider in Severn, Maryland. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Aquafit Physical Therapy, Llc and his current practice location is 1231 Colonial Park Dr, Severn, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 570-1446.

Charles Glenn Black is licensed to practice in Maryland (license number 18275) 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 1053424234.

Contact Information

	Charles Glenn Black, PT
	1231 Colonial Park Dr, Severn, MD 21144-4417
	(410) 570-1446
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Glenn Black
Gender	Male
Speciality	Physical Therapy
Experience	29 Years
Location	1231 Colonial Park Dr, Severn, Maryland
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:

Charles Glenn Black graduated from medical school in 1995

NPI Data:

NPI Number: 1053424234
Provider Enumeration Date: 08/15/2006
Last Update Date: 05/26/2009

Medicare PECOS Information:

PECOS PAC ID: 7517031180
Enrollment ID: I20080730000417

Medical Identifiers

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

Identifier	Type	State	Issuer
1053424234	NPI	-	NPPES
5120	Other		GHMSI/BLUECHOICE
701076	Other		ACN
18GMMA	Other		BCBS OF MARYLAND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	18275 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aquafit Physical Therapy, Llc	3577603505	2

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. Charles Glenn Black allows following entities to bill medicare on his behalf.

Provider Name	Aquafit Physical Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386979995 PECOS PAC ID: 3577603505 Enrollment ID: O20091222000576

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. Charles Glenn 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
Charles Glenn Black, PT 1231 Colonial Park Dr, Severn, MD 21144-4417 Ph: (410) 570-1446	Charles Glenn Black, PT 1231 Colonial Park Dr, Severn, MD 21144-4417 Ph: (410) 570-1446

Reviews and Comments

Physical Therapist in Severn, MD

Miss Antara Desai, PT, OCS, CKTP, CMTPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8505 Pine Springs Dr, Severn, MD 21144 Phone: 410-775-6679
Mrs. Maria Celeste Cundangan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1433 Illinois Ave, Severn, MD 21144 Phone: 443-204-1920
Brandon Lenkiewicz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Wet Sand Dr, Severn, MD 21144 Phone: 410-206-7380
Philip Francis Malaya Relativo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1433 Illinois Ave, Severn, MD 21144 Phone: 410-330-4534
Desai Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 8505 Pine Springs Dr, Severn, MD 21144 Phone: 410-775-6679
Mrs. Mariesol Figueroa Wallace, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1615 Horsedrawn Ct, Severn, MD 21144 Phone: 443-688-6220

Charles Glenn Black, PT - Medicare Physical Therapist in Severn, MD