Individual ProviderAlan Edward SilkPediatricsAllopathic & Osteopathic PhysiciansPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709(703) 289-1400PECOS EnrollmentBased on the most recent information from CMS, provider Alan Edward Silk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1902846660Provider TypeIndividualFull NameSilk, Alan EdwardTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709Phone(703) 289-1400Fax(703) 289-1414Mailing LocationMailing Address2730-B Prosperity Avenue, Fairfax, VA 22031-2238Phone(703) 289-1400Fax(703) 289-1414Provider TaxonomiesCodeDescriptionLicenseCode2080N0001XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense0101041196VirginiaProvider IdentifiersIDDescriptionIssuerID6717691DescriptionMedicaidIssuerUnlistedVirginiaID6728880DescriptionMedicaidIssuerUnlistedVirginiaID6717683DescriptionMedicaidIssuerUnlistedVirginia