Justin T Castellow, MD - Medicare Pediatrics in Millcreek, UT

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.

Contact Information

Justin T Castellow, MD
1200 E 3900 S,
Millcreek, UT 84124-1300
(208) 367-8063
(208) 367-8067



Physician's Profile

Full NameJustin T Castellow
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1200 E 3900 S, Millcreek, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1639565344NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101264380 (Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2080N0001XPediatrics - 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 NameChildrens Specialty Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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Pediatrics Doctors in Millcreek, UT

Jennifer Murphy, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 E 3900 S, Millcreek, UT 84124
Phone: 520-626-6053    

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