Mrs Gloria Gilbert Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fairfax, VA

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Mrs Gloria Gilbert Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfax, Virginia. She graduated from nursing school in 1986 and has 40 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.

Contact Information

Mrs Gloria Gilbert Black, CRNA
3600 Joseph Siewick Dr,
Fairfax, VA 22033-1709
(703) 295-9360
(703) 295-9369

Map and Direction




Provider's Profile

Full NameMrs Gloria Gilbert Black
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience40 Years
Location3600 Joseph Siewick Dr, Fairfax, Virginia
Accepts Medicare AssignmentsYes. 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 nursing 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.
IdentifierTypeStateIssuer
1003815267NPI-NPPES
139180OtherVAANTHEM
1003815267MedicaidVA
296621OtherVAAMERIGROUP
K142-0002OtherVACAREFIRST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024076529 (Virginia)Primary
207L00000XAnesthesiology 0024076529 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Fair Oaks HospitalFairfax, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inova Cares - Community9537526330187
Inova Cares - Community9537526330187

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 NameAmerican Anesthesiology of Virginia PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417994872
PECOS PAC ID: 6800790023
Enrollment ID: O20031120000429
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644
Entity NameInova Cares - Community
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861131906
PECOS PAC ID: 9537526330
Enrollment ID: O20230620001611

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 AddressPractice 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

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: Not Enrolled in Medicare
Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033
Phone: 703-391-3129    Fax: 703-391-3006
Melissa Patel, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3998 Fair Ridge Dr., Suite 320, Fairfax, VA 22033
Phone: 703-295-9360    Fax: 703-295-9369
Paul M Corbett, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3998 Fair Ridge Drive, Suite 320, Fairfax, VA 22033
Phone: 703-295-9360    Fax: 703-295-9369
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: Not Enrolled in Medicare
Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033
Phone: 703-295-9360    Fax: 703-295-9369

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.