Justin T Castellow, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Millcreek, Utah. His current practice location is
1200 E 3900 S, Millcreek, Utah. You can reach out to his office (for appointments etc.) via phone at
(208) 367-8063.
Justin T Castellow is licensed to practice in Virginia (license number 0101264380) 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 1639565344.
Physician's Profile
| Full Name | Justin T Castellow |
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| 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639565344
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759682123
- Enrollment ID: I20180803001458
Medical Identifiers
Medical identifiers for Justin T Castellow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639565344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin T Castellow allows following entities to bill medicare on his behalf.
| Entity Name | Childrens Specialty Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255354130
PECOS PAC ID: 5890788764
Enrollment ID: O20040406001195 |
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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
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 |
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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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