Individual ProviderJohn HannaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address14820 Physicians Ln, 242, Rockville, MD 20850-3945(301) 838-9606PECOS EnrollmentBased on the most recent information from CMS, provider John Hanna 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 1:10 PM.Profile DetailsProvider ID1508804873Provider TypeIndividualFull NameHanna, JohnGenderMaleEnumeration Date6/2/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address14820 Physicians Ln, 242, Rockville, MD 20850-3945Phone(301) 838-9606FaxUnlisted FaxMailing LocationMailing Address947 Leigh Mill Rd, Great Falls, VA 22066-2303PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD34338MarylandProvider IdentifiersIDDescriptionIssuerID284871601DescriptionMedicaidIssuerUnlistedMarylandID601285800DescriptionOtherIssuerFECA