| Ackerly Mcbride Group PLLC | |
|
4910 Massachusetts Ave Nw Ste 215 Washington DC 20016-4368 | |
| (202) 953-0990 | |
| (202) 845-7344 |
| Full Name | Ackerly Mcbride Group PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4910 Massachusetts Ave Nw Ste 215, Washington, District Of Columbia |
| Authorized Official Name and Position | Samantha Stadnik (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2029530990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ackerly Mcbride Group PLLC 4910 Massachusetts Ave Nw Ste 215 Washington DC 20016-4368 Ph: (202) 953-0990 | Ackerly Mcbride Group PLLC 4910 Massachusetts Ave Nw Ste 215 Washington DC 20016-4368 Ph: (202) 953-0990 |
| NPI Number | 1679342554 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Medicare PECOS PAC ID | 5991143927 |
|---|---|
| Medicare Enrollment ID | O20240409004234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679342554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Kathleen Andersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578742375 PECOS PAC ID: 6608964978 Enrollment ID: I20110310000143 |
| Provider Name | Tamar E Zakheim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770837650 PECOS PAC ID: 4587816525 Enrollment ID: I20121220000274 |
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