Justin Cantrelle, is a medicare enrolled "Anesthesiology" physician in Pearl, Mississippi. His current practice location is
764 Magnolia Point Cir, Pearl, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(985) 789-3504.
Justin Cantrelle is licensed to practice in Mississippi (license number T-5854) 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 1134983687.
Physician's Profile
| Full Name | Justin Cantrelle |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 764 Magnolia Point Cir, Pearl, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134983687
- Provider Enumeration Date: 02/06/2024
- Last Update Date: 01/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 8224538814
- Enrollment ID: I20250827000412
Medical Identifiers
Medical identifiers for Justin Cantrelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134983687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | T-5854 (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. Justin Cantrelle 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 |
Justin Cantrelle, 764 Magnolia Point Circle, Pearl, MS 39208 Ph: (985) 789-3504 | Justin Cantrelle, 764 Magnolia Point Cir, Pearl, MS 39208-1207 Ph: (985) 789-3504 |
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