Carolyn Brown, PA-C
Individual provider Active NPI Physician Assistant · Coatesville, PA
NPI 1306972203 · NPPES record last updated Sep 22, 2014
Key facts
- NPI
- 1306972203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA052646 (PA)
- Practice address
- 201 Reeceville Rd
Coatesville, PA 19320-1542 - Phone
- (610) 383-8518
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20070611000549 | PA | Practitioner - Physician Assistant | 4789782004 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA052646 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Current |
Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Current |
Accepting new patients |
| West Grove Clinic Company LLC | Current |
Accepting new patients |
Locations
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285
1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA052646 | PA | Yes |
Addresses
Primary practice location
201 Reeceville Rd
Coatesville, PA 19320-1542
Mailing address
3961 Terrace St
Philadelphia, PA 19128-5233
Phone (267) 385-7744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | PA |
Other providers in Coatesville, PA
- Marie Brislin
- John E. Brittan I
- Christina Jane Brochet
- Debora Brooks-Wilson
- Anne Lyons Brown
- Jennifer A Brown
- Karen Elizabeth Brown
- Katari Brown
- Kiara Brown
- Maurin Brown
All providers in Coatesville, 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 Sep 22, 2014. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.