Individual ProviderBismark AsanteInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(571) 423-5699PECOS EnrollmentBased on the most recent information from CMS, provider Bismark Asante 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 10:37 AM.Profile DetailsProvider ID1134582646Provider TypeIndividualFull NameAsante, BismarkCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/1/2016Last Updated8/2/2022Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(571) 423-5699FaxUnlisted FaxMailing LocationMailing AddressPO Box 37174, Baltimore, MD 21297-3174Phone(571) 423-5699FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101265766VirginiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer