Individual ProviderGhofrane BenghanemEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3116PECOS EnrollmentBased on the most recent information from CMS, provider Ghofrane Benghanem 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 ID1669771846Provider TypeIndividualFull NameBenghanem, GhofraneCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date3/27/2011Last Updated12/30/2021Contact 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 PhysiciansLicenseMD043094District of Columbia