Desarae Cantrell, is a
Licensed Practical Nurse based in Yazoo City, Mississippi. Desarae Cantrell is licensed to practice in Mississippi (license number 336497) and her current practice location is
635 W Willie Morris Pkwy, Yazoo City, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 746-5712.
NPI number for Desarae Cantrell is 1932864402 and her current mailing address is 635 W Willie Morris Pkwy, Yazoo City, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932864402.
Provider's Profile
Full Name | Desarae Cantrell |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 635 W Willie Morris Pkwy, Yazoo City, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932864402
- Provider Enumeration Date: 11/01/2021
- Last Update Date: 11/01/2021
Medical Identifiers
Medical identifiers for Desarae Cantrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932864402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 336497 (Mississippi) | Primary |
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. Desarae Cantrell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Desarae Cantrell, 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 Ph: (662) 746-5712 | Desarae Cantrell, 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 Ph: (662) 746-5712 |
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