Mrs Gloria Gilbert Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Fairfax, Virginia. She graduated from medical school in 1986 and has 39 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Inova Cares - Community, Inova Cares - Community and 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 | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 39 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 graduated from medical school in 1986
NPI Data:
- NPI Number: 1003815267
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 02/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416999040
- Enrollment ID: I20050524001206
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Inova Cares - Community | 9537526330 | 180 |
| Inova Cares - Community | 9537526330 | 180 |
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. Mrs Gloria Gilbert Black allows following entities to bill medicare on her behalf.
| Entity Name | American Anesthesiology Of Virginia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20031120000429 |
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| Entity Name | Inova Health Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
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| Entity Name | Inova Cares - Community |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230620001611 |
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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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