Individual ProviderMichael BoyleEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Emergency Department, Falls Church, VA 22042-3307(703) 698-3111(703) 205-9790PECOS EnrollmentBased on the most recent information from CMS, provider Michael Boyle 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 ID1700808193Provider TypeIndividualFull NameBoyle, MichaelCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/24/2006Last Updated8/24/2009Contact InformationPractice LocationPractice Address3300 Gallows Rd, Emergency Department, Falls Church, VA 22042-3307Phone(703) 698-3111Fax(904) 346-0113Mailing LocationMailing AddressPO Box 75567, Baltimore, MD 21275-5567Phone(703) 205-9790Fax(904) 346-0113Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101048028VirginiaProvider IdentifiersIDDescriptionIssuerIDP00357013DescriptionOtherIssuerRAILROAD MEDICAREVirginiaID010294622DescriptionMedicaidIssuerUnlistedVirginiaID03085494DescriptionMedicaidIssuerUnlistedNew York