- Medicare Primary Care in Washington, DC

is a medicare enrolled primary clinic (Clinic/center) in Washington, District Of Columbia. The current practice location for is 4201 Connecticut Ave Nw Ste 406, Washington, District Of Columbia. For appointments, you can reach them via phone at (717) 972-1100. The mailing address for is 4714 Gettysburg Rd, Mechanicsburg, Pennsylvania and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538631874. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (717) 972-1100.

Contact Information

4201 Connecticut Ave Nw Ste 406
Washington
DC 20008-1166
(717) 972-1100
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location4201 Connecticut Ave Nw Ste 406, Washington, District Of Columbia
Authorized Official Name and PositionMichael E Tarvin (VICE PRESIDENT)
Authorized Official Contact7179721100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

4714 Gettysburg Rd
Mechanicsburg
PA 17055-4325

Ph: () -

4201 Connecticut Ave Nw Ste 406
Washington
DC 20008-1166

Ph: (717) 972-1100

NPI Details:

NPI Number1538631874
Provider Enumeration Date12/27/2018
Last Update Date12/21/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8628305935
Medicare Enrollment IDO20190809000077

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538631874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMichael S Stidham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265682058
PECOS PAC ID: 0840489183
Enrollment ID: I20110118000770
Provider NameAlyssa A Wolf
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023251238
PECOS PAC ID: 2860675287
Enrollment ID: I20110323000146
Provider NamePatricia A Celmer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649582321
PECOS PAC ID: 7517144512
Enrollment ID: I20110531000225
Provider NameBrian Hershberger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992813299
PECOS PAC ID: 9537257266
Enrollment ID: I20170418000817
Provider NameErin Longhurst
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003297409
PECOS PAC ID: 6305119751
Enrollment ID: I20170906002158
Provider NameBenjamin Hayes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053783738
PECOS PAC ID: 6103180658
Enrollment ID: I20180509000345
Provider NameShay Bautista Natividad
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376801373
PECOS PAC ID: 2466862883
Enrollment ID: I20201116000268
Provider NameSalvatore J Fogarino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457022329
PECOS PAC ID: 2567853740
Enrollment ID: I20211222002177
Provider NameHadiya Green
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467621862
PECOS PAC ID: 9739149121
Enrollment ID: I20220808001566
Provider NameRaymar J Mcclain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720740533
PECOS PAC ID: 1355718065
Enrollment ID: I20221110000015
Provider NameAlyson N. Dillon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699395665
PECOS PAC ID: 2567827660
Enrollment ID: I20230425000387
Provider NameMegan Gallagher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982358610
PECOS PAC ID: 0446634307
Enrollment ID: I20230526000552

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.