Individual ProviderAlice GouvernayreEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3116PECOS EnrollmentBased on the most recent information from CMS, provider Alice Gouvernayre 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 ID1659538056Provider TypeIndividualFull NameGouvernayre, AliceGenderFemaleSole ProprietorYesEnumeration Date5/22/2008Last Updated6/7/2021Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3116FaxUnlisted FaxMailing LocationMailing Address3300 Gallows Rd, Falls Church, VA 22042-3307PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101247252Virginia