Individual ProviderRandall CaseEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3111(703) 205-9790PECOS EnrollmentBased on the most recent information from CMS, provider Randall Case 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 ID1386756328Provider TypeIndividualFull NameCase, RandallCredentialMDGenderMaleSole ProprietorYesEnumeration Date8/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3111Fax(904) 346-0113Mailing LocationMailing AddressPO Box 759101, Baltimore, MD 21275-0001Phone(703) 205-9790Fax(904) 596-2761Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101036606VirginiaProvider IdentifiersIDDescriptionIssuerID6042627DescriptionMedicaidIssuerUnlistedVirginia