Individual ProviderIlya RabkinFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710(703) 391-2020PECOS EnrollmentBased on the most recent information from CMS, provider Ilya Rabkin 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 ID1760822324Provider TypeIndividualFull NameRabkin, IlyaTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date6/27/2013Last Updated11/27/2023Contact InformationPractice LocationPractice Address3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710Phone(703) 391-2020FaxUnlisted FaxMailing LocationMailing Address3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710Phone(703) 391-2020FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0116026091Virginia