Look up the most recent NPI and PECOS records

Sally May Abilmona

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

PECOS Enrollment

This provider is enrolled in PECOS as SALLY ABILMONA.

Based on the most recent information from CMS, provider Sally May Abilmona is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1013692300
Provider Type
Individual
Full Name
Abilmona, Sally May
Title
Dr.
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
6/15/2023
Last Updated
6/15/2023

Contact Information

Practice Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

Unlisted Fax

Mailing Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0116037707 Virginia

Sally May Abilmona

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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