Justin T Castellow, MD is a
Pediatrics - Neonatal-perinatal Medicine physician based in Millcreek, Utah. Justin T Castellow is licensed to practice in Virginia (license number 0101264380) and his current practice location is 1200 E 3900 S, Millcreek, Utah. He can be reached at his office (for appointments etc.) via phone at
(208) 367-8063.
NPI number for Justin T Castellow is 1639565344 and his current mailing address is 1200 E 3900 S, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639565344.
Physician's Profile
| Full Name | Justin T Castellow |
|---|
| Gender | Male |
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| Speciality | Pediatrics - Neonatal-perinatal Medicine |
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| Location | 1200 E 3900 S, Millcreek, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639565344
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 06/20/2023
Medical Identifiers
Medical identifiers for Justin T Castellow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639565344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0101264380 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 0101264380 (Virginia) | 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 T Castellow 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 |
|---|
Justin T Castellow, MD
1200 E 3900 S,
Salt Lake City, UT 84124-1300
Ph: (208) 367-8063 | Justin T Castellow, MD
1200 E 3900 S,
Millcreek, UT 84124-1300
Ph: (208) 367-8063 |
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