Individual ProviderWillie James BlockerCase Manager/Care CoordinatorOther Service ProvidersPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408(202) 878-6626(202) 487-2047PECOS EnrollmentBased on the most recent information from CMS, provider Willie James Blocker 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 yesterday at 10:04 AM.Profile DetailsProvider ID1316706658Provider TypeIndividualFull NameBlocker, Willie JamesTitleMr.GenderMaleSole ProprietorYesEnumeration Date3/18/2024Last Updated9/17/2024Contact InformationPractice LocationPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408Phone(202) 878-6626FaxUnlisted FaxMailing LocationMailing Address1609 H St SE, Washington, DC 20003-3111Phone(202) 487-2047FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer