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Kristina Reist Krecko

Internal Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Falls Church, VA 22042-3307

PECOS Enrollment

This provider is enrolled in PECOS as KRISTINA KRECKO.

Based on the most recent information from CMS, provider Kristina Reist Krecko 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 10:50 AM.

Profile Details

Provider ID
1114339736
Provider Type
Individual
Full Name
Krecko, Kristina Reist
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/2/2014
Last Updated
11/3/2022

Contact Information

Practice Location

3300 Gallows Rd, Falls Church, VA 22042-3307

(571) 423-5699

Unlisted Fax

Mailing Location

PO Box 37174, Baltimore, MD 21297-3174

(571) 423-5699

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101274558 Virginia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 269611 Massachusetts
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 269611 Massachusetts
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 296699 New York

Kristina Reist Krecko

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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