| Gerald Family Care | |
|
1160 Varnum St Ne Ste 117 Washington DC 20017-2107 | |
| (202) 832-7007 | |
| (202) 529-5290 |
| Full Name | Gerald Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1160 Varnum St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Kimberly Stewart (BILLING MANAGER) |
| Authorized Official Contact | 3017733752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Family Care Po Box 75492 Baltimore MD 21275-5492 Ph: (301) 773-3752 | Gerald Family Care 1160 Varnum St Ne Ste 117 Washington DC 20017-2107 Ph: (202) 832-7007 |
| NPI Number | 1407056336 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 3870581929 |
|---|---|
| Medicare Enrollment ID | O20040505001505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407056336 | NPI | - | NPPES |
| 8702 | Other | DC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edwin S Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275696015 PECOS PAC ID: 4284700410 Enrollment ID: I20080911000377 |
| Provider Name | Melvin D Gerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811931140 PECOS PAC ID: 2860480936 Enrollment ID: I20110419000251 |
| Provider Name | Eric Cornelius Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841228947 PECOS PAC ID: 8224174347 Enrollment ID: I20110614000185 |
| Provider Name | Sonja Gerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700197167 PECOS PAC ID: 3870882012 Enrollment ID: I20171215002258 |
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