Mrs Odalis Castellon, PHYSICIAN ASSISTANT in Hollywood, FL

Mrs Odalis Castellon, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Surgical" in Hollywood, Florida. Her current practice location is 3449 Johnson Street, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 964-4113.

Mrs Odalis Castellon is licensed to practice in Florida (license number PA9101779) 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 1306120746.

Contact Information

	Mrs Odalis Castellon, PHYSICIAN ASSISTANT
	3449 Johnson Street, Hollywood, FL 33021
	(954) 964-4113
	(954) 963-8121

Map and Direction

Provider's Profile

Full Name	Mrs Odalis Castellon
Gender	Female
Speciality	Physician Assistant - Surgical
Location	3449 Johnson Street, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306120746
Provider Enumeration Date: 10/04/2011
Last Update Date: 10/04/2011

Medicare PECOS Information:

PECOS PAC ID: 4082910153
Enrollment ID: I20160316000504

Medical Identifiers

Medical identifiers for Mrs Odalis Castellon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306120746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA9101779 (Florida)	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. Mrs Odalis Castellon 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
Mrs Odalis Castellon, PHYSICIAN ASSISTANT 3449 Johnson Street, Hollywood, FL 33021 Ph: (954) 964-4113	Mrs Odalis Castellon, PHYSICIAN ASSISTANT 3449 Johnson Street, Hollywood, FL 33021 Ph: (954) 964-4113

Reviews and Comments

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Mrs Odalis Castellon, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Hollywood, FL