| Medstar Total Elder Care Llc | |
|
106 Irving St Nw Ste 204 Washington DC 20010-2993 | |
| (202) 877-0570 | |
| Not Available |
| Full Name | Medstar Total Elder Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 106 Irving St Nw Ste 204, Washington, District Of Columbia |
| Authorized Official Name and Position | Stephanie J Schneider (VP) |
| Authorized Official Contact | 7035581403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstar Total Elder Care Llc 3007 Tilden St Nw Ste 5n Washington DC 20008-3030 Ph: (703) 558-1423 | Medstar Total Elder Care Llc 106 Irving St Nw Ste 204 Washington DC 20010-2993 Ph: (202) 877-0570 |
| NPI Number | 1750752911 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 4981901550 |
|---|---|
| Medicare Enrollment ID | O20160324002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750752911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | George Hennawi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336140524 PECOS PAC ID: 9830291145 Enrollment ID: I20070216000291 |
| Provider Name | Diana M Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982769931 PECOS PAC ID: 3577658970 Enrollment ID: I20071001000126 |
| Provider Name | Pamela A Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447354600 PECOS PAC ID: 2163548199 Enrollment ID: I20100928000721 |
| Provider Name | Dorothy L Were |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316256068 PECOS PAC ID: 7719162825 Enrollment ID: I20110504000349 |
| Provider Name | Carrie L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922075894 PECOS PAC ID: 1951588854 Enrollment ID: I20110601000690 |
| Provider Name | Adama R Panda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437503943 PECOS PAC ID: 1557650850 Enrollment ID: I20160510000395 |
| Provider Name | George A Taler |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1366496820 PECOS PAC ID: 5092842617 Enrollment ID: I20160727001107 |
| Provider Name | Elizabeth Jane Flanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447791058 PECOS PAC ID: 9931473618 Enrollment ID: I20170919002061 |
| Provider Name | Stephen O Courtin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649512690 PECOS PAC ID: 0941446710 Enrollment ID: I20171004003182 |
| Provider Name | Sharareh Badri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1003278250 PECOS PAC ID: 3173913233 Enrollment ID: I20211203000072 |
| Provider Name | Rita Ayuma Muriithi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831892652 PECOS PAC ID: 0547620346 Enrollment ID: I20230712000506 |
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