Individual ProviderSamantha DayFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715(703) 391-2020PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Day 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 12:57 PM.Profile DetailsProvider ID1578132262Provider TypeIndividualFull NameDay, SamanthaTitleDr.GenderFemaleSole ProprietorNoEnumeration Date6/18/2021Last Updated6/18/2021Contact InformationPractice LocationPractice Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715Phone(703) 391-2020Fax(703) 264-9861Mailing LocationMailing Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715PhoneUnlisted PhoneFax(703) 264-9861Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0116035568Virginia