| Platinumcare , Llc | |
|
4061 Minnesota Ave Ne Washington DC 20019-3541 | |
| (717) 451-7518 | |
| (717) 646-8283 |
| Full Name | Platinumcare , Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4061 Minnesota Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Jacque Mclaughlin Edwards (CEO) |
| Authorized Official Contact | 7174517518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinumcare , Llc 930 Hostetter Rd Hanover PA 17331-7764 Ph: (717) 451-7518 | Platinumcare , Llc 4061 Minnesota Ave Ne Washington DC 20019-3541 Ph: (717) 451-7518 |
| NPI Number | 1558772087 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 07/26/2019 |
| Medicare PECOS PAC ID | 5597985721 |
|---|---|
| Medicare Enrollment ID | O20141009002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558772087 | NPI | - | NPPES |
| Provider Name | Michelle Lynn Gaskins Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871615179 PECOS PAC ID: 3476542903 Enrollment ID: I20040510001384 |
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