| One Care DC | |
|
1628 Good Hope Rd Se Washington DC 20020-4706 | |
| (240) 506-9577 | |
| Not Available |
| Full Name | One Care DC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1628 Good Hope Rd Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Matutu Nyabange (ADMINISTRATOR) |
| Authorized Official Contact | 2028890800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Care DC 1628 Good Hope Rd Se Washington DC 20020-4706 Ph: (202) 889-0800 | One Care DC 1628 Good Hope Rd Se Washington DC 20020-4706 Ph: (240) 506-9577 |
| NPI Number | 1649769662 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 01/30/2019 |
| Medicare PECOS PAC ID | 6800140617 |
|---|---|
| Medicare Enrollment ID | O20181114002228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649769662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 102617-337 (District Of Columbia) | Primary |
| Provider Name | Irina Feodor Samuels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558518514 PECOS PAC ID: 8022261759 Enrollment ID: I20130109000214 |
| Provider Name | Dawit Yaszi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639686942 PECOS PAC ID: 1052672359 Enrollment ID: I20180301001609 |
| Provider Name | Kean Go Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831543719 PECOS PAC ID: 3779848882 Enrollment ID: I20180521000229 |
| Provider Name | Nji Fru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275893794 PECOS PAC ID: 8224374319 Enrollment ID: I20190610000895 |
| Provider Name | Neisha-ann Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760837074 PECOS PAC ID: 2860729399 Enrollment ID: I20190807000431 |
| Provider Name | Grace N Ashu-ngang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477915460 PECOS PAC ID: 6002220423 Enrollment ID: I20210126003402 |
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