| Medical Home Development Group | |
|
2112 F St Nw Ste 504 Washington DC 20037-2761 | |
| (202) 684-2784 | |
| (866) 643-9237 |
| Full Name | Medical Home Development Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2112 F St Nw Ste 504, Washington, District Of Columbia |
| Authorized Official Name and Position | Audrey Whetsell (CEO) |
| Authorized Official Contact | 8434125548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Home Development Group 4975 Lacross Rd Suite 151 N Charleston SC 29406-6523 Ph: (843) 412-5548 | Medical Home Development Group 2112 F St Nw Ste 504 Washington DC 20037-2761 Ph: (202) 684-2784 |
| NPI Number | 1902232168 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 09/08/2022 |
| Medicare PECOS PAC ID | 0244468114 |
|---|---|
| Medicare Enrollment ID | O20150928000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902232168 | NPI | - | NPPES |
| 086030300 | Medicaid | DC |
| Provider Name | Terry L Jarrett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548272032 PECOS PAC ID: 5890760789 Enrollment ID: I20040902000243 |
| Provider Name | Elena Reece |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619086667 PECOS PAC ID: 6901971084 Enrollment ID: I20080825000487 |
| Provider Name | Richard Alfonso Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255486221 PECOS PAC ID: 6002947165 Enrollment ID: I20100706000651 |
| Provider Name | Numu E Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295054187 PECOS PAC ID: 4587840772 Enrollment ID: I20110524000649 |
| Provider Name | Edwin Charles Chapman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841303880 PECOS PAC ID: 6204093180 Enrollment ID: I20120203000637 |
| Provider Name | Florence F Odubayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962898023 PECOS PAC ID: 5799086377 Enrollment ID: I20151228000813 |
| Provider Name | Marjorie R Madikoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275938201 PECOS PAC ID: 8628362589 Enrollment ID: I20160816001075 |
| Provider Name | Sidney Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033152541 PECOS PAC ID: 4082628300 Enrollment ID: I20170612001025 |
| Provider Name | Scott Jefferson Whetsell |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1790045102 PECOS PAC ID: 0547524167 Enrollment ID: I20180508001436 |
| Provider Name | Shahi Krishnan Prabhakaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588783567 PECOS PAC ID: 5991056533 Enrollment ID: I20180921000187 |
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