| Justin A Cantrell, PA-C | |
|
8040 Princeton Glendale Rd, West Chester, OH 45069-5802 | |
| (513) 246-2300 | |
| (513) 852-3876 |
| Full Name | Justin A Cantrell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 8040 Princeton Glendale Rd, West Chester, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467950071 | NPI | - | NPPES |
| 0267433 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.005432 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Physician Group Ohio Llc | 6608288162 | 4 |
| Entity Name | Trihealth H LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811215742 PECOS PAC ID: 1850570458 Enrollment ID: O20110128000356 |
| Entity Name | Impact Physician Group Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063078749 PECOS PAC ID: 6608288162 Enrollment ID: O20201208000942 |
| Entity Name | Hometown Urgent Care of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20211014001382 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin A Cantrell, PA-C 8040 Princeton Glendale Rd, West Chester, OH 45069-5802 Ph: (513) 246-2300 | Justin A Cantrell, PA-C 8040 Princeton Glendale Rd, West Chester, OH 45069-5802 Ph: (513) 246-2300 |
Jason Ernst, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7690 Discovery Dr, West Chester, OH 45069 Phone: 513-475-8690 Fax: 513-475-8629 |
Adele Katherine Rauen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7690 Discovery Dr, West Chester, OH 45069 Phone: 513-475-8400 Fax: 513-475-8228 |
Kelsey Lyn Draper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9075 Centre Pointe Dr Ste 200, West Chester, OH 45069 Phone: 513-221-1100 Fax: 513-569-5312 |
Lawrence Pieper, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7249 Liberty Way, West Chester, OH 45069 Phone: 513-770-3263 Fax: 513-770-3298 |
Mr. Luke Stuart Manis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4870 Wunnenberg Way, West Chester, OH 45069 Phone: 513-860-4600 |
Ivan R Bennett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7798 Discovery Dr., West Chester, OH 45069 Phone: 513-939-2263 Fax: 513-874-4579 |
Brittney Nichole Warren, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7792 Misty Shore Dr, West Chester, OH 45069 Phone: 937-885-7163 Fax: 513-275-3262 |