| District Primary Care, Llc | |
|
700 Pennsylvania Ave Se Fl 2 Washington DC 20003-2493 | |
| (202) 446-1085 | |
| (202) 446-1086 |
| Full Name | District Primary Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Pennsylvania Ave Se Fl 2, Washington, District Of Columbia |
| Authorized Official Name and Position | Wesley E Cook (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2024461085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| District Primary Care, Llc 215 C St Se Apt 504 Washington DC 20003-1947 Ph: (202) 446-0185 | District Primary Care, Llc 700 Pennsylvania Ave Se Fl 2 Washington DC 20003-2493 Ph: (202) 446-1085 |
| NPI Number | 1124477096 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 05/04/2023 |
| Medicare PECOS PAC ID | 5597043950 |
|---|---|
| Medicare Enrollment ID | O20161107000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124477096 | NPI | - | NPPES |
| 096862600 | Medicaid | DC |
| Provider Name | Wesley E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215306659 PECOS PAC ID: 1355645987 Enrollment ID: I20161102001059 |
| Provider Name | Glory Forbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790310506 PECOS PAC ID: 7012338775 Enrollment ID: I20200612001569 |
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