Individual ProviderMichael KerriganFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715(703) 391-2020(703) 255-9100PECOS EnrollmentBased on the most recent information from CMS, provider Michael Kerrigan 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 ID1679205108Provider TypeIndividualFull NameKerrigan, MichaelCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/24/2022Last Updated8/30/2025Contact InformationPractice LocationPractice Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715Phone(703) 391-2020FaxUnlisted FaxMailing LocationMailing Address115 Park St SE Ste 300, Vienna, VA 22180-4653Phone(703) 255-9100Fax(703) 255-3457Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0116036865Virginia