Cassius Marcellous Brown
Individual provider Active NPI Physician Assistant · Philadelphia, PA
NPI 1013301506 · NPPES record last updated Mar 24, 2015
Key facts
- NPI
- 1013301506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA057515 (PA)
- Practice address
- 5058 City Ave
Philadelphia, PA 19131 - Phone
- (215) 921-6369
- NPI assigned
- Mar 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Drexel University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
13285 Minnieville Rd
Woodbridge, VA 22192-4018
Phone (703) 986-2400
14139 Potomac Mills Rd
Woodbridge, VA 22192-4644
Phone (703) 257-3000
8008 Westpark Dr
MC Lean, VA 22102-3109
Phone (703) 287-6400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150710002456 | DC | Practitioner - Physician Assistant | 5092027524 | Reassigns benefits to 5 organizations |
| I20250727000023 | VA | Practitioner - Physician Assistant | 5092027524 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA057515 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients |
Locations
4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
#4E
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA057515 | PA | Yes |
Addresses
Primary practice location
5058 City Ave
Philadelphia, PA 19131
Mailing address
5058 City Ave
Philadelphia, PA 19131
Phone (215) 921-6369
Other providers in Philadelphia, PA
- Ayeisha Brown
- Benjamin Paul Brown
- Bernard A Brown
- Bridgett Duarte Brown
- Caitlin Brown
- Charlene Brown
- Chase Robert Brown
- Chauncey Brown Jr.
- Christian Brown
- Christina N Brown
All providers in Philadelphia, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.