| Marcellus R Cephas Md Llc | |
|
7610 Carroll Ave Suite 200 Takoma Pk MD 20912 | |
| (301) 891-2077 | |
| (301) 891-2080 |
| Full Name | Marcellus R Cephas Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7610 Carroll Ave, Takoma Pk, Maryland |
| Authorized Official Name and Position | Marcellus R Cephas (OWNER/MD) |
| Authorized Official Contact | 3018912077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcellus R Cephas Md Llc 7610 Carroll Ave Suite 200 Takoma Park MD 20912-6384 Ph: (301) 891-2077 | Marcellus R Cephas Md Llc 7610 Carroll Ave Suite 200 Takoma Pk MD 20912 Ph: (301) 891-2077 |
| NPI Number | 1366579013 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 07/05/2013 |
| Medicare PECOS PAC ID | 9638337132 |
|---|---|
| Medicare Enrollment ID | O20120229000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366579013 | NPI | - | NPPES |
| H022891 | Medicaid | MD | |
| 4022891 | Medicaid | MD |
| Provider Name | Kayee V Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679879688 PECOS PAC ID: 1759556152 Enrollment ID: I20111229000488 |
| Provider Name | Marcellus Cephas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134116007 PECOS PAC ID: 8527954957 Enrollment ID: I20120223000105 |
| Provider Name | Hae Won H Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568931913 PECOS PAC ID: 7113268608 Enrollment ID: I20190410001456 |
| Provider Name | Andinwe Namanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275124232 PECOS PAC ID: 5496164196 Enrollment ID: I20210510002483 |