Mc Medical Group Of Dc, Pc | |
320 40th St Ne Washington DC 20019-3372 | |
(866) 389-2727 | |
(401) 406-3539 |
Full Name | Mc Medical Group Of Dc, Pc |
---|---|
Speciality | Nurse Practitioner |
Location | 320 40th St Ne, Washington, District Of Columbia |
Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
Authorized Official Contact | 4017703813 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mc Medical Group Of Dc, Pc Po Box 772 Minuteclinic Credentialing Woonsocket RI 02895-0784 Ph: (401) 770-1768 | Mc Medical Group Of Dc, Pc 320 40th St Ne Washington DC 20019-3372 Ph: (866) 389-2727 |
NPI Number | 1063644466 |
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Provider Enumeration Date | 08/18/2009 |
Last Update Date | 05/03/2024 |
Certification Date | 05/03/2024 |
Medicare PECOS PAC ID | 3779629894 |
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Medicare Enrollment ID | O20091005000003 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063644466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Natacha I Moorer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760692891 PECOS PAC ID: 1759359490 Enrollment ID: I20040921000727 |
Provider Name | Amy F Nassar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124004767 PECOS PAC ID: 7719922004 Enrollment ID: I20050627001322 |
Provider Name | Linda C Duquette-petersen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093823825 PECOS PAC ID: 3476576000 Enrollment ID: I20060110000817 |
Provider Name | Sandra B Shaheed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275738965 PECOS PAC ID: 5294819256 Enrollment ID: I20080228000647 |
Provider Name | Bernard L Hardeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033352901 PECOS PAC ID: 9436294683 Enrollment ID: I20100226000791 |
Provider Name | Christine Gee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952554123 PECOS PAC ID: 0547313413 Enrollment ID: I20110308000597 |
Provider Name | Chinwendu U Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881945319 PECOS PAC ID: 3173773975 Enrollment ID: I20121031000448 |
Provider Name | Lundon Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114367562 PECOS PAC ID: 7719120989 Enrollment ID: I20130909000255 |
Provider Name | Amy M Salunga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427480367 PECOS PAC ID: 6507000940 Enrollment ID: I20130925000075 |
Provider Name | Janet Mijere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891134292 PECOS PAC ID: 8224262118 Enrollment ID: I20131008001630 |
Provider Name | Josephine C Emeagwali |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356698112 PECOS PAC ID: 4183858533 Enrollment ID: I20131018000052 |
Provider Name | Erin L Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982965158 PECOS PAC ID: 7618100579 Enrollment ID: I20140429001513 |
Provider Name | Barbara Denkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427280601 PECOS PAC ID: 4880817923 Enrollment ID: I20140519001502 |
Provider Name | Svetlana Y Istomina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265851745 PECOS PAC ID: 9931324183 Enrollment ID: I20140702001919 |
Provider Name | Michelle Sterniczuk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720476872 PECOS PAC ID: 1254656689 Enrollment ID: I20150206000598 |
Provider Name | Khalilah Jefferson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609207778 PECOS PAC ID: 9234356692 Enrollment ID: I20150206001695 |
Provider Name | Sabrina Monique Neill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619345733 PECOS PAC ID: 7618286295 Enrollment ID: I20151021002835 |
Provider Name | Bethany K Morrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679945653 PECOS PAC ID: 5890095111 Enrollment ID: I20151118001191 |
Provider Name | Alexander U Ukaoma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982060083 PECOS PAC ID: 8729377684 Enrollment ID: I20160516001606 |
Provider Name | Rezvan Heidari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467811646 PECOS PAC ID: 3971893280 Enrollment ID: I20160527000641 |
Provider Name | Leigh R Allred |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629425608 PECOS PAC ID: 6103117296 Enrollment ID: I20160621000753 |
Provider Name | Itunuoluwa I Alao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497002836 PECOS PAC ID: 6608167713 Enrollment ID: I20160621001718 |
Provider Name | Lehem Besera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316301708 PECOS PAC ID: 8325322415 Enrollment ID: I20170309001909 |
Provider Name | Martha I Amiewalan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629527866 PECOS PAC ID: 0244517936 Enrollment ID: I20170505001944 |
Provider Name | Carolyn G Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225580483 PECOS PAC ID: 1951670926 Enrollment ID: I20170706002579 |
Provider Name | Abiebatu F Barrie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548750748 PECOS PAC ID: 0446505085 Enrollment ID: I20180621002275 |
Provider Name | Rachel M Bruner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508332594 PECOS PAC ID: 9032454756 Enrollment ID: I20181227000004 |
Provider Name | Agnes S Ekiti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497234819 PECOS PAC ID: 0749513141 Enrollment ID: I20190617001724 |
Provider Name | Kashawn L Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790334779 PECOS PAC ID: 7315370749 Enrollment ID: I20191125003153 |
Provider Name | Bilikisu Osman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689213050 PECOS PAC ID: 5890124879 Enrollment ID: I20200327000313 |
Provider Name | Udo Igwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053954602 PECOS PAC ID: 1658792411 Enrollment ID: I20200603000124 |
Provider Name | Rachel Sainte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043730674 PECOS PAC ID: 1658610274 Enrollment ID: I20200630002029 |
Provider Name | Xiaoxia Michelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225562143 PECOS PAC ID: 9436426178 Enrollment ID: I20210201000324 |
Provider Name | Josephine Tafie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871937482 PECOS PAC ID: 4587089420 Enrollment ID: I20210407002643 |
Provider Name | Blessing Ohwaga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568089365 PECOS PAC ID: 3870901689 Enrollment ID: I20210415002539 |
Provider Name | Geraldine Fleurimond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437753605 PECOS PAC ID: 2264831452 Enrollment ID: I20210519002861 |
Provider Name | Alan Lesnau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841882529 PECOS PAC ID: 2163826496 Enrollment ID: I20210810000252 |
Provider Name | John T Lehr |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447211289 PECOS PAC ID: 8123156122 Enrollment ID: I20211007001239 |
Provider Name | Alexis Glover |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992398051 PECOS PAC ID: 0941699250 Enrollment ID: I20211110001862 |
Provider Name | Edward Chaum |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1023075868 PECOS PAC ID: 6406898493 Enrollment ID: I20211118002100 |
Provider Name | Alison Berlenbach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063187730 PECOS PAC ID: 8628467248 Enrollment ID: I20211119000096 |
Provider Name | Sarah M Montoya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144991787 PECOS PAC ID: 8325437908 Enrollment ID: I20211120000069 |
Provider Name | Thorayia Maraheel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396411088 PECOS PAC ID: 4880084797 Enrollment ID: I20211208003069 |
Provider Name | Cecilia J Cuprill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538823836 PECOS PAC ID: 5799179792 Enrollment ID: I20220308000067 |
Provider Name | Jaime Konieczny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487327573 PECOS PAC ID: 7517345606 Enrollment ID: I20220601002366 |
Provider Name | Arielle Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669034419 PECOS PAC ID: 2062890106 Enrollment ID: I20220602000726 |
Provider Name | Kerry E Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194027243 PECOS PAC ID: 0648416073 Enrollment ID: I20220610001598 |
Provider Name | Amber Cory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184114795 PECOS PAC ID: 4183970346 Enrollment ID: I20220711000722 |
Provider Name | Veronica Jett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477018398 PECOS PAC ID: 8820337801 Enrollment ID: I20220711003557 |
Provider Name | Shabnam Khalifa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629622337 PECOS PAC ID: 1052642410 Enrollment ID: I20220713000335 |
Provider Name | Kaitlin Justice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780175190 PECOS PAC ID: 0749510345 Enrollment ID: I20220714000494 |
Provider Name | Jennifer Fleming |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548890114 PECOS PAC ID: 1759718596 Enrollment ID: I20220722002571 |
Provider Name | Nkechinyere Esema |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275291346 PECOS PAC ID: 1850784042 Enrollment ID: I20220830000212 |
Provider Name | Mialing Velez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336483080 PECOS PAC ID: 4183877368 Enrollment ID: I20220831003191 |
Provider Name | Vera Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619396272 PECOS PAC ID: 5799900080 Enrollment ID: I20220915002338 |
Provider Name | Emily Peterson Biddulph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508490681 PECOS PAC ID: 1658790894 Enrollment ID: I20221111001089 |
Provider Name | Leslie Suarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275963522 PECOS PAC ID: 6305155441 Enrollment ID: I20221128000357 |
Provider Name | Ludmyla Staddon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093945594 PECOS PAC ID: 1355488438 Enrollment ID: I20221207003153 |
Provider Name | Samantha Chalmers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528564432 PECOS PAC ID: 1355696527 Enrollment ID: I20230204000289 |
Provider Name | Genevieve Fom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184319774 PECOS PAC ID: 8325400153 Enrollment ID: I20230810003963 |
Provider Name | Tarren Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407414410 PECOS PAC ID: 3173950771 Enrollment ID: I20230811000189 |
Provider Name | Layne M Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992483440 PECOS PAC ID: 1557724341 Enrollment ID: I20230825003548 |
Provider Name | Deborah Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215387832 PECOS PAC ID: 0547555104 Enrollment ID: I20230911003958 |
Provider Name | Tamika Shorter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184218331 PECOS PAC ID: 0244686558 Enrollment ID: I20231023003012 |
Provider Name | Jhenny Philemond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861148934 PECOS PAC ID: 8921454703 Enrollment ID: I20231031001121 |
Provider Name | Thianheyla Saint-fort |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497473011 PECOS PAC ID: 7911354055 Enrollment ID: I20231110000071 |
Provider Name | Lucia Resende |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992310262 PECOS PAC ID: 6901253004 Enrollment ID: I20231110002646 |
Provider Name | Lashana Pace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346923661 PECOS PAC ID: 9133576184 Enrollment ID: I20231113001824 |
Provider Name | Xinna Yi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528740719 PECOS PAC ID: 9739537549 Enrollment ID: I20231204002623 |
Provider Name | Elena Ifarraguerri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083489785 PECOS PAC ID: 0749632131 Enrollment ID: I20240122002811 |
Provider Name | Alicia Quayson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1376275107 PECOS PAC ID: 6406209436 Enrollment ID: I20240125004782 |
Provider Name | Ashley Myers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093570269 PECOS PAC ID: 4385084235 Enrollment ID: I20240425003491 |
Provider Name | Chanel Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134999774 PECOS PAC ID: 0547602880 Enrollment ID: I20240531001450 |
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