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PHORNPHAN MOLTANE HOMIAK PA-C
NPI 1942488374
Physician Assistant in Burke, VA

Active since February 07, 2008PECOS EnrolledAccepts Medicare Assignment
6035 BURKE CENTRE PKWY, SUITE 120, BURKE, VA 22015(703) 425-6010(703) 425-7504 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phornphan Moltane Homiak Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHORNPHAN MOLTANE HOMIAK PA-C (NPI 1942488374) is an individual physician assistant in Burke, Virginia, licensed in Virginia (0110004437) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Carilion Stonewall Jackson Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1942488374
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePHORNPHAN MOLTANE HOMIAKCredential: PA-C
Location Address6035 BURKE CENTRE PKWY, SUITE 120Burke, VA 22015-3750
Mailing Address6035 Burke Centre Pkwy, Suite 120Burke, VA 22015-3750 · (703) 425-6010 · Fax (703) 425-7504
Phone(703) 425-6010
Fax(703) 425-7504
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 7, 2008
Last NPPES UpdateNovember 18, 2014
✔ NPI 1942488374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in VA · 0110004437✔ Licensed in NC · 103810
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6035 BURKE CENTRE PKWY, Burke, VA 22015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phornphan Moltane Homiak Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688989973
PECOS Enrollment IDI20220222001949
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carilion Stonewall Jackson Hospital

Critical Access Hospitals · Lexington, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491304
Location1 Health CircleLexington, VA 24450 · Lexington City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA BOYLE P.T.
Physical Therapist
6035 BURKE CENTRE PKWY, 300
BURKE, VA 22015
Fairfax County (703) 978-3300
MR. JEFFREY EARL MENGES PHYSICAL THERAPIST
Physical Therapist
6035 BURKE CENTRE PKWY
BURKE, VA 22015
Fairfax County (703) 978-3300
SONIA BORGES DPT
Physical Therapist
6035 BURKE CENTRE PKWY
BURKE, VA 22015
Fairfax County (703) 978-3300
KRISTEN DONOHUE DMD PC
Dentist (General Practice)
6035 BURKE CENTRE PKWY, SUITE 260
BURKE, VA 22015
Fairfax County (703) 978-1446
MICHAEL P BLAIR MSPT
Physical Therapist
6035 BURKE CENTRE PKWY, #300
BURKE, VA 22015
Fairfax County (703) 978-3300
STEPHEN T LANIER DDS LTD
Clinic/Center (Dental)
6035 BURKE CENTRE PKWY, SUITE 260
BURKE, VA 22015
Fairfax County (703) 978-1446
DR. ALEX MCMILLAN IV D.D.S.
Dentist
6035 BURKE CENTRE PKWY, SUITE 330
BURKE, VA 22015
Fairfax County (703) 503-9490
DR. EMILY SANDIFER BOYD D.M.D.
Dentist
6035 BURKE CENTRE PKWY, SUITE 330
BURKE, VA 22015
Fairfax County (502) 552-7424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phornphan Homiak's NPI number?

The NPI number for Phornphan Homiak is 1942488374. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Where is Phornphan Homiak located?

Phornphan Homiak practices at 6035 Burke Centre Pkwy Suite 120, Burke, VA 22015. The listed phone number is (703) 425-6010.

What is Phornphan Homiak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Phornphan Homiak enrolled in Medicare?

Yes. Phornphan Homiak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Phornphan Homiak affiliated with any hospitals?

According to CMS data, Phornphan Homiak is affiliated with Carilion Stonewall Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Phornphan Homiak was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.