Individual ProviderErnest C WynneObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address2100 Pennsylvania Ave NW, Washington, DC 20037-3202(202) 872-7269(301) 816-6660PECOS EnrollmentBased on the most recent information from CMS, provider Ernest C Wynne 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 2 days ago.Profile DetailsProvider ID1144376104Provider TypeIndividualFull NameWynne, Ernest CTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date1/25/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2100 Pennsylvania Ave NW, Washington, DC 20037-3202Phone(202) 872-7269Fax(202) 872-7212Mailing LocationMailing Address2101 E Jefferson St, Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks, Rockville, MD 20852-4908Phone(301) 816-6660Fax(301) 816-6308Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseMD20742District of ColumbiaCode207V00000XDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseD0045988Maryland