Individual ProviderPeter PaganussiEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3111(703) 205-9790PECOS EnrollmentBased on the most recent information from CMS, provider Peter Paganussi 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 ID1699712778Provider TypeIndividualFull NamePaganussi, PeterCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/31/2006Last Updated7/15/2008Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3111Fax(904) 346-0113Mailing LocationMailing AddressPO Box 75567, Baltimore, MD 21275-5567Phone(703) 205-9790Fax(904) 346-0113Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101043880VirginiaProvider IdentifiersIDDescriptionIssuerID0001DescriptionOtherIssuerBCBSVirginiaID6063551DescriptionMedicaidIssuerUnlistedVirginiaID930047718DescriptionOtherIssuerRAILROAD MEDICAREVirginia