Individual ProviderKimberly Colden MasseyObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address2301 M St NW, Washington, DC 20037-1427(202) 419-6312(301) 816-6660PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Colden Massey is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1174682728Provider TypeIndividualFull NameColden Massey, KimberlyTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date12/8/2006Last Updated2/28/2022Contact InformationPractice LocationPractice Address2301 M St NW, Washington, DC 20037-1427Phone(202) 419-6312FaxUnlisted FaxMailing LocationMailing Address2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6w Attn Theresa Brooks, Rockville, MD 20852-4908Phone(301) 816-6660Fax(301) 816-6308Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseD52676MarylandCode207V00000XDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseMD30567District of Columbia