Individual ProviderThom MayerEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042(703) 776-3111(703) 205-9790PECOS EnrollmentBased on the most recent information from CMS, provider Thom Mayer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1386739902Provider TypeIndividualFull NameMayer, ThomCredentialMDGenderMaleSole ProprietorNoEnumeration Date10/3/2006Last Updated12/18/2013Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042Phone(703) 776-3111Fax(904) 346-0113Mailing LocationMailing AddressPO Box 759101, Baltimore, MD 21275Phone(703) 205-9790Fax(904) 346-0113Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101031908VirginiaProvider IdentifiersIDDescriptionIssuerID930051778DescriptionOtherIssuerRAILROAD MEDICAREVirginiaID5601410DescriptionMedicaidIssuerUnlistedVirginia