| Dr Omar Ibn Abdul-malik, PA-C | |
|
219 Peabody St Nw, Washington, DC 20011-2215 | |
| (202) 549-7136 | |
| Not Available |
| Full Name | Dr Omar Ibn Abdul-malik |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 219 Peabody St Nw, Washington, District Of Columbia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770786105 | NPI | - | NPPES |
| PA-30201 | Other | DC | PHYSICIAN ASSISTANT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-30201 (District Of Columbia) | Primary |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073914396 PECOS PAC ID: 6608056171 Enrollment ID: O20141202001514 |
| Entity Name | M Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20160627000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omar Ibn Abdul-malik, PA-C 219 Peabody St Nw, Washington, DC 20011-2215 Ph: (202) 545-0502 | Dr Omar Ibn Abdul-malik, PA-C 219 Peabody St Nw, Washington, DC 20011-2215 Ph: (202) 549-7136 |
Jenna Elizabeth Horowitz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3800 Reservoir Rd Nw, Neurosurgery Department, Washington, DC 20007 Phone: 202-444-2000 |
Claire Elizabeth Porter, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-7259 |
Ms. Amanda Jordan Sun, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3800 Reservoir Rd Nw, Washington, DC 20007 Phone: 877-772-6505 |
Adam Eberius, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3003 Van Ness St Nw Apt W927, Washington, DC 20008 Phone: 443-640-5428 |
Marcus Mitchell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1805 Columbia Rd Nw, Washington, DC 20009 Phone: 855-910-3278 |
Milajurine Tywanka Lindsay, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 650 Pennsylvania Ave Se, Suite 50, Washington, DC 20003 Phone: 202-787-5702 Fax: 202-787-5700 |
Ain-alem Seyoum, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1150 Varnum St Ne, Washington, DC 20017 Phone: 202-269-7000 |