Individual ProviderJudith MechanickEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3111(703) 648-1850PECOS EnrollmentBased on the most recent information from CMS, provider Judith Mechanick is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1346291945Provider TypeIndividualFull NameMechanick, JudithCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/16/2006Last Updated5/29/2008Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3111Fax(800) 536-8431Mailing LocationMailing Address3228 Foxvale Dr, Oakton, VA 22124-2261Phone(703) 648-1850Fax(703) 648-2560Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101038516VirginiaProvider IdentifiersIDDescriptionIssuerID6062881DescriptionMedicaidIssuerUnlistedVirginia