Dr Mira Cantrell, MD in Los Angeles, CA - Medicare Internal Medicine

Dr Mira Cantrell, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Los Angeles, California. Her current practice location is 11500 Nimitz Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (424) 832-8268.

Dr Mira Cantrell is licensed to practice in California (license number A39040) 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 1932147055.

Contact Information

	Dr Mira Cantrell, MD
	11500 Nimitz Ave, Los Angeles, CA 90049-3566
	(424) 832-8268
	(424) 832-8270

Physician's Profile

Full Name	Dr Mira Cantrell
Gender	Female
Speciality	Internal Medicine - Geriatric Medicine
Location	11500 Nimitz Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932147055
Provider Enumeration Date: 06/02/2006
Last Update Date: 10/25/2011

Medicare PECOS Information:

PECOS PAC ID: 7517270036
Enrollment ID: I20150713002248

Medical Identifiers

Medical identifiers for Dr Mira Cantrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932147055	NPI	-	NPPES
A39040	Other	CA	LICENCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	A39040 (California)	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. Dr Mira Cantrell 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
Dr Mira Cantrell, MD 11500 Nimitz Ave, Los Angeles, CA 90049-3566 Ph: (424) 832-8268	Dr Mira Cantrell, MD 11500 Nimitz Ave, Los Angeles, CA 90049-3566 Ph: (424) 832-8268

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Internal Medicine Doctors in Los Angeles, CA

Dr. Linda Fong, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290
Dr. Robert Peter Gale, Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010
Dr. Tarek Alasil, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290
David Michael Tellalian, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308
Dr. Jan B King, M.D., M.P.H. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701
Dr. Caroline Hwang, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100
Dr. Jennifer A Fulcher, M.D., PH.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225

Dr Mira Cantrell, MD - Medicare Internal Medicine in Los Angeles, CA