Look up the most recent NPI and PECOS records

Sandra Lynn Ratterman

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710

(703) 391-2020

PECOS Enrollment

This provider is enrolled in PECOS as SANDRA RATTERMAN.

Based on the most recent information from CMS, provider Sandra Lynn Ratterman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1487649984
Provider Type
Individual
Full Name
Ratterman, Sandra Lynn
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/12/2005
Last Updated
10/18/2020

Contact Information

Practice Location

3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710

(703) 391-2020

(703) 391-1211

Mailing Location

3022 Williams Dr, Ste 300, Fairfax, VA 22031-4600

(703) 391-2020

(703) 391-1211

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101051965 Virginia

Provider Identifiers

ID	Description	Issuer
ID 05604729	Description Medicaid	Issuer Unlisted Virginia
ID 080183213	Description Other	Issuer RR MEDICARE

Sandra Lynn Ratterman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Stallard, William Carl

Kalifa, Nia

Hermes, Marjorie Anne

Mujahid, Mahvash

Ho, Daniel

Burgwin, Elizabeth Kawa

Fairfax Family Practice Centers Pc

Yoon, Hanna

Lam, Vivian Wangmei

Shefet, Dana