Individual ProviderSade MckenzieEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-2690PECOS EnrollmentBased on the most recent information from CMS, provider Sade Mckenzie 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 ID1356761555Provider TypeIndividualFull NameMckenzie, SadeCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/26/2014Last Updated3/17/2018Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-2690FaxUnlisted FaxMailing LocationMailing Address3300 Gallows Rd, Falls Church, VA 22042-3307PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense101262464VirginiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense427648937New York