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Andrew Lewis Miner

Emergency Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Emergency Department, Falls Church, VA 22042-3307

PECOS Enrollment

This provider is enrolled in PECOS as ANDREW MINER.

Based on the most recent information from CMS, provider Andrew Lewis Miner 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
1063603751
Provider Type
Individual
Full Name
Miner, Andrew Lewis
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/7/2007
Last Updated
1/29/2010

Contact Information

Practice Location

3300 Gallows Rd, Emergency Department, Falls Church, VA 22042-3307

(703) 776-3195

(703) 776-2893

Mailing Location

3300 Gallows Rd, Emergency Department, Falls Church, VA 22042-3307

(703) 776-3195

(703) 776-2893

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 0101245613 Virginia

Andrew Lewis Miner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Yazdi, Hamid

Avstreih, Dan

Hwang, Vivian

Ghezzi, Keith

Hermes, Daniel

Diegelmann, Laura Elizabeth

Amin, Minal

Jastrzebski, George

Girma, Beletshachew

Chand, Rajat