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Kathrin Stephanie Yoshiko Wilkowski

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

PECOS Enrollment

This provider is enrolled in PECOS as KATHRIN WILKOWSKI.

Based on the most recent information from CMS, provider Kathrin Stephanie Yoshiko Wilkowski is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1942453295
Provider Type
Individual
Full Name
Wilkowski, Kathrin Stephanie Yoshiko
Credential
MD, MS

Gender
Female
Sole Proprietor
No
Enumeration Date
10/30/2008
Last Updated
11/13/2024

Contact Information

Practice Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

Unlisted Fax

Mailing Location

3650 Joseph Siewick Dr, Fairfax, VA 22033-1710

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101279771 Virginia
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License A157632 California
Code 172V00000X	Description Community Health Worker Other Service Providers	License Unlisted Issuer

Kathrin Stephanie Yoshiko Wilkowski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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