OrganizationMedical Faculty AssociatesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2150 Pennsylvania Ave NW, Suite 6-B, Washington, DC 20037-3201(202) 741-3203PECOS EnrollmentBased on the most recent information from CMS, provider Medical Faculty Associates does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1215341763Provider TypeOrganizationFull NameMedical Faculty AssociatesSubpartNoEnumeration Date6/12/2014Last Updated6/12/2014Contact InformationPractice LocationPractice Address2150 Pennsylvania Ave NW, Suite 6-B, Washington, DC 20037-3201Phone(202) 741-3203Fax(202) 741-3219Mailing LocationMailing Address2150 Pennsylvania Ave NW, Suite 6-B, Washington, DC 20037-3201Phone(202) 741-3203Fax(202) 741-3219Authorized OfficialNameBadger, Stephen (Ceo)Phone(202) 741-3000Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN965339District of ColumbiaProvider IdentifiersIDDescriptionIssuerID033802300DescriptionMedicaidIssuerUnlistedDistrict of Columbia