Dr Clinzo P Mickle Ii, MD | |
650 Pennsylvania Ave Se, Suite 420, Washington, DC 20003-4318 | |
(202) 547-9001 | |
Not Available |
Full Name | Dr Clinzo P Mickle Ii |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 23 Years |
Location | 650 Pennsylvania Ave Se, Washington, District Of Columbia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104096361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD036757 (District Of Columbia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Dermatology Of 19th Street Llc | 2567626567 | 5 |
Entity Name | Integrated Dermatology Of 19th Street Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801166467 PECOS PAC ID: 2567626567 Enrollment ID: O20120601000481 |
Mailing Address | Practice Location Address |
---|---|
Dr Clinzo P Mickle Ii, MD 2400 16th St Nw, Apt. 243, Washington, DC 20009-6646 Ph: (202) 332-2802 | Dr Clinzo P Mickle Ii, MD 650 Pennsylvania Ave Se, Suite 420, Washington, DC 20003-4318 Ph: (202) 547-9001 |
Dr. George Walter Turiansky, MD Dermatology Medicare: Medicare Enrolled Practice Location: Walter Reed Army Medical Center; Attn: Mchl-mao-c, 6900 Georgia Ave. Nw, Washington, DC 20307 Phone: 202-782-7341 | |
Lauren Mckelroy, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2141 K St Nw Ste 307, Washington, DC 20037 Phone: 202-293-3990 | |
Dr. Catharine Lisa Kauffman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3301 New Mexico Ave Nw, Suite #210, Washington, DC 20016 Phone: 202-363-9600 Fax: 202-363-9601 | |
Dr. Melissa Bueche Scorza, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6900 Georgia Ave Nw, Washington, DC 20307 Phone: 202-782-6173 | |
Dr. Edward H Stolar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1712 Eye Street Nw, Suite 712, Washington, DC 20006 Phone: 202-659-2223 Fax: 202-659-0289 | |
Dr. Karin Aberg Brooks, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3301 New Mexico Ave Nw Ste 301, Washington, DC 20016 Phone: 022-937-6182 Fax: 916-442-5702 |