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Emily Bergitte Johnson Osborn

Emergency Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Falls Church, VA 22042-3307

PECOS Enrollment

This provider is enrolled in PECOS as EMILY OSBORN.

Based on the most recent information from CMS, provider Emily Bergitte Johnson Osborn 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
1962671826
Provider Type
Individual
Full Name
Osborn, Emily Bergitte Johnson
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
2/25/2008
Last Updated
3/16/2011

Contact Information

Practice Location

3300 Gallows Rd, Falls Church, VA 22042-3307

(703) 776-3206

Unlisted Fax

Mailing Location

702 Chetworth Pl, Alexandria, VA 22314-1211

(775) 771-7756

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 0101245215 Virginia
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 37749 Arizona
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License MD038070 District of Columbia

Emily Bergitte Johnson Osborn

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Bosley, William D

Whitman, Elizabeth Miles

Kuhn, Robert

Jastrzebski, George

Day, Sharon L

Luettgen, Garrett Lee

Muller, Todd

Case, Randall

Syed, Sanober

Hermes, Daniel