Individual ProviderIlan VavilinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3582PECOS EnrollmentBased on the most recent information from CMS, provider Ilan Vavilin 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 today at 10:37 AM.Profile DetailsProvider ID1578022315Provider TypeIndividualFull NameVavilin, IlanTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date3/19/2019Last Updated3/26/2024Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3582FaxUnlisted FaxMailing LocationMailing Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3582FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101270941VirginiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD210002590District of Columbia