| Diane Cantrell, | |
|
1675 Northcrest Dr, Crescent City, CA 95531-8928 | |
| (407) 359-1717 | |
| Not Available |
| Full Name | Diane Cantrell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 37 Years |
| Location | 1675 Northcrest Dr, Crescent City, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588302392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME59148 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | G77287 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Coast Hospital | Crescent city, CA | Hospital |
| Marion Communtiy Hospital | Ocala, FL | Hospital |
| Lehigh Regional Medical Center | Lehigh acres, FL | Hospital |
| Brandon Regional Hospital | Brandon, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Fl Llc | 8426413931 | 660 |
| Ies Florida Pllc | 8921485004 | 43 |
| Sutter Coast Hospital | 9436148111 | 28 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| 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 |