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Ali Abid Hasan

Emergency Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Falls Church, VA 22042-3307

PECOS Enrollment

This provider is enrolled in PECOS as ALI HASAN.

Based on the most recent information from CMS, provider Ali Abid Hasan 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
1285990200
Provider Type
Individual
Full Name
Hasan, Ali Abid
Gender
Male

Sole Proprietor
No
Enumeration Date
4/3/2012
Last Updated
9/29/2017

Contact Information

Practice Location

3300 Gallows Rd, Falls Church, VA 22042-3307

(703) 776-4001

Unlisted Fax

Mailing Location

3300 Gallows Rd, Falls Church, VA 22042-3307

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 0101263106 Virginia

Ali Abid Hasan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bestpractices, Inc.

Gouvernayre, Alice

Clark, Robert

Jastrzebski, George

Tysz, Samantha A

Saluja-Sharma, Ritu

Avstreih, Dan

Solberg, Robert Glen

Druckenbrod, Glenn

Emergency Medicine Associates P.A., P.C.