Individual ProviderNicholus VisnichAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address14820 Physicians Ln, 242, Rockville, MD 20850-3945(301) 838-9606PECOS EnrollmentBased on the most recent information from CMS, provider Nicholus Visnich 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 1:10 PM.Profile DetailsProvider ID1922046028Provider TypeIndividualFull NameVisnich, NicholusCredentialM.D.GenderMaleEnumeration Date6/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address14820 Physicians Ln, 242, Rockville, MD 20850-3945Phone(301) 838-9606FaxUnlisted FaxMailing LocationMailing Address10816 Willow Run Ct, Potomac, MD 20854-2581PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD51764Maryland