Individual ProviderGeorge JastrzebskiEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3111(888) 898-3291PECOS EnrollmentBased on the most recent information from CMS, provider George Jastrzebski is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790736882Provider TypeIndividualFull NameJastrzebski, GeorgeCredentialMDGenderMaleEnumeration Date5/13/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3111Fax(800) 536-8431Mailing LocationMailing AddressPO Box 75567, Baltimore, MD 21275-5567Phone(888) 898-3291Fax(800) 536-8431Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101033281VirginiaProvider IdentifiersIDDescriptionIssuerID5815541DescriptionMedicaidIssuerUnlistedVirginia