Look up the most recent NPI and PECOS records

Jennifer Marie Martini

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr, 4th Floor, Fairfax, VA 22033-1710

(703) 391-2020

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER MARTINI.

Based on the most recent information from CMS, provider Jennifer Marie Martini 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
1225357825
Provider Type
Individual
Full Name
Martini, Jennifer Marie
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/21/2010
Last Updated
3/31/2021

Contact Information

Practice Location

3650 Joseph Siewick Dr, 4th Floor, Fairfax, VA 22033-1710

(703) 391-2020

Unlisted Fax

Mailing Location

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

(703) 391-2020

(703) 391-1211

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101250375 Virginia

Jennifer Marie Martini

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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