Look up the most recent NPI and PECOS records

Marjorie Anne Hermes

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710

(703) 391-2020

PECOS Enrollment

This provider is enrolled in PECOS as MARJORIE HERMES.

Based on the most recent information from CMS, provider Marjorie Anne Hermes 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
1144214784
Provider Type
Individual
Full Name
Hermes, Marjorie Anne
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/9/2005
Last Updated
11/27/2023

Contact Information

Practice Location

3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710

(703) 391-2020

(703) 391-1211

Mailing Location

3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710

(703) 391-2020

(703) 391-1211

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101045777 Virginia

Provider Identifiers

ID	Description	Issuer
ID 05604613	Description Medicaid	Issuer Unlisted Virginia
ID 080182893	Description Other	Issuer RR MEDICARE Virginia

Marjorie Anne Hermes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Rabkin, Ilya

Rehmatulla, Abdulahad Asif

Lechmann, Grace

Dong, Vivian

Lundgren, Ainsley

Cornett, Emilie R

Yi, Heon Soo

Towne, William Edwin

Wilkowski, Kathrin Stephanie Yoshiko

Elzawahry, Heba K