Mr Forrest Clark Cantrell Jr, MD in Marietta, GA

Mr Forrest Clark Cantrell Jr, MD is a medicare enrolled "Pediatrics" physician in Marietta, Georgia. His current practice location is 3515 Dallas Hwy, Ste C, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 943-9150.

Mr Forrest Clark Cantrell Jr is licensed to practice in Georgia (license number 028948) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881641793.

Contact Information

	Mr Forrest Clark Cantrell Jr, MD
	3515 Dallas Hwy, Ste C, Marietta, GA 30064
	(770) 943-9150
	(770) 212-0276

Map and Direction

Physician's Profile

Full Name	Mr Forrest Clark Cantrell Jr
Gender	Male
Speciality	Pediatrics
Location	3515 Dallas Hwy, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881641793
Provider Enumeration Date: 05/27/2006
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7416107313
Enrollment ID: I20121031000354

Medical Identifiers

Medical identifiers for Mr Forrest Clark Cantrell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881641793	NPI	-	NPPES
000382489G	Medicaid	GA
00382489A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	028948 (Georgia)	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. Mr Forrest Clark Cantrell Jr allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Mr Forrest Clark Cantrell Jr 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
Mr Forrest Clark Cantrell Jr, MD 5200 Dallas Hwy, Ste 200, Powder Springs, GA 30127-6318 Ph: (770) 943-9150	Mr Forrest Clark Cantrell Jr, MD 3515 Dallas Hwy, Ste C, Marietta, GA 30064 Ph: (770) 943-9150

Reviews and Comments

Pediatrics Doctors in Marietta, GA

Mrs. Nicole A Smail, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062 Phone: 770-978-4700
Dr. Stephanie Lynette Poole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 Campbell Hill St Nw Ste 103, Marietta, GA 30060 Phone: 770-499-8909 Fax: 770-499-8911
Brenda L Marino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 677 Church St, Hospital Based Only Kennestone Wellstar, Marietta, GA 30060 Phone: 770-779-3603 Fax: 770-793-9925
Carla A Mclean-joseph, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 County Services Pkwy Sw, Marietta, GA 30008 Phone: 770-528-4192 Fax: 770-528-5463
Dr. Bianca Camac Bell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5672
Dr. Lori Spitzer Corley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3707 Largent Way Nw, Marietta, GA 30064 Phone: 678-581-5729 Fax: 678-581-5719
Mr. Richard Rhodes, NP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062 Phone: 770-973-4700

Mr Forrest Clark Cantrell Jr, MD - Medicare Pediatrics in Marietta, GA