Amber E Cantrell Pearson, is a medicare enrolled "Nurse Practitioner" in Ringgold, Louisiana. Her current practice location is
3265 Military Rd, Ringgold, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 894-0220.
Amber E Cantrell Pearson is licensed to practice in Louisiana (license number 227544) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164182937.
Provider's Profile
| Full Name | Amber E Cantrell Pearson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 3265 Military Rd, Ringgold, Louisiana |
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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: 1164182937
- Provider Enumeration Date: 12/21/2021
- Last Update Date: 09/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214304427
- Enrollment ID: I20221101001166
Medical Identifiers
Medical identifiers for Amber E Cantrell Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164182937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 853137 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 227544 (Louisiana) | 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. Amber E Cantrell Pearson allows following entities to bill medicare on her behalf.
| Entity Name | Winn Community Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
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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. Amber E Cantrell Pearson 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 |
Amber E Cantrell Pearson, 128 Shoreline Dr, Azle, TX 76020-4034 Ph: (214) 491-2325 | Amber E Cantrell Pearson, 3265 Military Rd, Ringgold, LA 71068-2809 Ph: (318) 894-0220 |
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