MEDICARE: COMPASSIONMD NETWORK PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1194682518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONMD NETWORK PC

Provider Business Mailing Address
First Line	:	1621 CENTRAL AVE # 56936
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82001-4531
Country	:	US
Telephone Number	:	202-321-3527
Fax Number	:	202-321-3527

Provider Business Practice Location Address
First Line	:	950 N WASHINGTON ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2393
Country	:	US
Telephone Number	:	202-321-3527
Fax Number	:	202-321-3527

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARCUS WILLIAMS
Credential	:
Telephone Number	:	202-321-3527

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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