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Denis John Ofallon

Anesthesiology

Allopathic & Osteopathic Physicians

1901 Research Blvd, 350, Rockville, MD 20850-3164

PECOS Enrollment

This provider is enrolled in PECOS as DENIS OFALLON.

Based on the most recent information from CMS, provider Denis John Ofallon 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 1:10 PM.

Profile Details

Provider ID
1568418945
Provider Type
Individual
Full Name
Ofallon, Denis John
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/26/2006
Last Updated
3/9/2010

Contact Information

Practice Location

1901 Research Blvd, 350, Rockville, MD 20850-3164

(301) 838-9606

(301) 838-9029

Mailing Location

12123 Merricks Ct, Monrovia, MD 21770-9446

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License D39868 Maryland

Provider Identifiers

ID	Description	Issuer
ID 066751000	Description Medicaid	Issuer Unlisted Maryland
ID 601285800	Description Other	Issuer FECA

Denis John Ofallon

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

Weltz, Deborah L

Chary, Satyam V

Rizzuto, Charles

Sowry, James Edward

Pray, Clyde W

Chau, Thomas Kwoksun

Pauliukonis, Kestutis J

Coursey, Melvin V

Chen, Dwayne

March, Mollyann Green