MEDICARE: EVERYGREEN WAVE BILLING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1245172063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERYGREEN WAVE BILLING INC

Provider Business Mailing Address
First Line	:	5375 DUKE ST APT 1112
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-3020
Country	:	US
Telephone Number	:	571-307-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	5375 DUKE ST APT 1112
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-3020
Country	:	US
Telephone Number	:	571-307-8777
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	PATINO PARADA CARLA MARIELY
Credential	:
Telephone Number	:	571-307-8777

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/09/2026

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Directions to “EVERYGREEN WAVE BILLING INC ” Practice Location

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