Diane Cantrell, is a medicare enrolled "Emergency Medicine" physician in Crescent City, California. Her current practice location is
1675 Northcrest Dr, Crescent City, California. You can reach out to her office (for appointments etc.) via phone at
(407) 359-1717.
Diane Cantrell is licensed to practice in Florida (license number ME59148) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588302392.
Physician's Profile
| Full Name | Diane Cantrell |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 1675 Northcrest Dr, Crescent City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588302392
- Provider Enumeration Date: 05/23/2022
- Last Update Date: 08/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456676873
- Enrollment ID: I20240930002101
Medical Identifiers
Medical identifiers for Diane Cantrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588302392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | ME59148 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diane Cantrell allows following entities to bill medicare on her behalf.
| Entity Name | Sutter Bay Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Cantrell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Diane Cantrell,
5840 Red Bug Lk. Rd., Suite 400,
Winter Springs, FL 32708
Ph: (407) 359-1717 | Diane Cantrell,
1675 Northcrest Dr,
Crescent City, CA 95531-8928
Ph: (407) 359-1717 |
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