Mrs Katherine Black, PA in Manassas, VA - Medicare Physician Assistant

Mrs Katherine Black, PA is a medicare enrolled "Physician Assistant" in Manassas, Virginia. Her current practice location is 8100 Ashton Ave Ste 200, Manassas, Virginia. You can reach out to her office (for appointments etc.) via phone at (877) 415-4116.

Mrs Katherine Black is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104406743.

Contact Information

	Mrs Katherine Black, PA
	8100 Ashton Ave Ste 200, Manassas, VA 20109-5688
	(877) 415-4116
	(571) 358-3941

Provider's Profile

Full Name	Mrs Katherine Black
Gender	Female
Speciality	Physician Assistant
Location	8100 Ashton Ave Ste 200, Manassas, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104406743
Provider Enumeration Date: 04/08/2021
Last Update Date: 04/08/2021

Medicare PECOS Information:

PECOS PAC ID: 9830597848
Enrollment ID: I20211019001408

Medical Identifiers

Medical identifiers for Mrs Katherine Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104406743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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 Katherine 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 Katherine Black, PA 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 Ph: (877) 415-4116	Mrs Katherine Black, PA 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 Ph: (877) 415-4116

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Physician Assistant Nurses in Manassas, VA

Jacqueline Ramirez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923
Mr. David J Pope, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9625 Surveyor Court, Suite 320, Manassas, VA 20110 Phone: 571-921-4877 Fax: 571-208-0585
Mr. Berkley Leo Williams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8708 Sudley Rd, Manassas, VA 20110 Phone: 703-530-1226 Fax: 703-530-1228
Mikaela Renee Worley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11700 Sudley Manor Dr, Manassas, VA 20109 Phone: 703-589-9695
Brooke Elizabeth Huggins, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000
Gemima Muteba, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11700 Sudley Manor Dr, Manassas, VA 20109 Phone: 703-589-9695

Mrs Katherine Black, PA - Medicare Physician Assistant in Manassas, VA