Individual ProviderNancy MehanEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3111(888) 898-3294PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Mehan 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 yesterday at 12:57 PM.Profile DetailsProvider ID1992750533Provider TypeIndividualFull NameMehan, NancyCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/23/2006Last Updated10/24/2008Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3111Fax(904) 346-0113Mailing LocationMailing AddressPO Box 75567, Baltimore, MD 21275-5567Phone(888) 898-3294Fax(904) 346-0113Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseCMD12097Rhode IslandCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101243860VirginiaProvider IdentifiersIDDescriptionIssuerID007058742DescriptionOtherIssuerMEDICARERhode IslandID939025129DescriptionOtherIssuerRI MEDICARE GROUP NUMBERRhode IslandID1992750533DescriptionMedicaidIssuerUnlistedVirginiaID1992750533DescriptionOtherIssuerNPIRhode IslandID7058742DescriptionMedicaidIssuerUnlistedRhode Island