Individual ProviderEsther MoonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3650 Joseph Siewick Dr, Fairfax, VA 22033-1710(703) 391-0202PECOS EnrollmentBased on the most recent information from CMS, provider Esther Moon 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 ID1851021281Provider TypeIndividualFull NameMoon, EstherGenderFemaleSole ProprietorNoEnumeration Date6/17/2022Last Updated6/17/2022Contact InformationPractice LocationPractice Address3650 Joseph Siewick Dr, Fairfax, VA 22033-1710Phone(703) 391-0202FaxUnlisted FaxMailing LocationMailing Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0116036367Virginia