Individual ProviderJoan KristalAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address1901 Research Blvd, 350, Rockville, MD 20850-3164(301) 838-9606PECOS EnrollmentBased on the most recent information from CMS, provider Joan Kristal 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 2 days ago.Profile DetailsProvider ID1740228014Provider TypeIndividualFull NameKristal, JoanCredentialM.DGenderFemaleSole ProprietorNoEnumeration Date6/2/2006Last Updated3/6/2009Contact InformationPractice LocationPractice Address1901 Research Blvd, 350, Rockville, MD 20850-3164Phone(301) 838-9606Fax(301) 838-9029Mailing LocationMailing Address7806 Aberdeen Rd, Bethesda, MD 20814-1102PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD50864MarylandProvider IdentifiersIDDescriptionIssuerID407235900DescriptionMedicaidIssuerUnlistedMarylandID601285800DescriptionOtherIssuerFECA