Individual ProviderDan AvstreihEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Emergency Department, Falls Church, VA 22042-3307(703) 698-3111(703) 205-9790PECOS EnrollmentBased on the most recent information from CMS, provider Dan Avstreih 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 ID1366460263Provider TypeIndividualFull NameAvstreih, DanCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/18/2006Last Updated7/17/2007Contact InformationPractice LocationPractice Address3300 Gallows Rd, Emergency Department, Falls Church, VA 22042-3307Phone(703) 698-3111Fax(904) 346-0113Mailing LocationMailing AddressPO Box 759101, Baltimore, MD 21275-5567Phone(703) 205-9790Fax(904) 346-0113Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101239607VirginiaProvider IdentifiersIDDescriptionIssuerIDP00357010DescriptionOtherIssuerRAILROAD MEDICAREVirginia