Look up the most recent NPI and PECOS records

Jeannette Tao

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr, Fairfax, VA 22033-1710

PECOS Enrollment

Based on the most recent information from CMS, provider Jeannette Tao 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
1528295342
Provider Type
Individual
Full Name
Tao, Jeannette
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/18/2009
Last Updated
11/22/2021

Contact Information

Practice Location

3650 Joseph Siewick Dr, Fairfax, VA 22033-1710

(860) 869-3058

Unlisted Fax

Mailing Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(860) 869-3058

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101254703 Virginia

Jeannette Tao

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ratterman, Sandra Lynn

Abd-Elfattah, Rhanda Anwar

Kalifa, Nia

Towne, William Edwin

Sughrue, Maura Jean

Vincent, Kathryn

Massmann, Aubrey

Ibrahim, Sandy F

Wilson, Kyler Edward

Edinborough, Kevin Andrew