| Diane Cantrell, | |
|
1675 Northcrest Dr, Crescent City, CA 95531-8928 | |
| (407) 359-1717 | |
| Not Available |
| Full Name | Diane Cantrell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1675 Northcrest Dr, Crescent City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588302392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME59148 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | G77287 (California) | Primary |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Sutter Coast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700960267 PECOS PAC ID: 9436148111 Enrollment ID: O20040827000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Cantrell, Po Box 276950, Sacramento, CA 95827-6950 Ph: () - | Diane Cantrell, 1675 Northcrest Dr, Crescent City, CA 95531-8928 Ph: (407) 359-1717 |
Timothy R Pangborn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 E Washington Blvd, Crescent City, CA 95531 Phone: 707-464-8511 | |
Dr. Randall L Steffens Sr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 E Washington Blvd, Crescent City, CA 95531 Phone: 707-460-1802 Fax: 833-916-2036 |