Jack L Cassell, MD is a medicare enrolled "Urology" physician in Mount Dora, Florida. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Urology. His current practice location is
717 North Donnelly Street, Mount Dora, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 383-3773.
Jack L Cassell is licensed to practice in Florida (license number ME46095) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164505483.
Physician's Profile
| Full Name | Jack L Cassell |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 42 Years |
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| Location | 717 North Donnelly Street, Mount Dora, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jack L Cassell graduated from medical school in 1982
NPI Data:
- NPI Number: 1164505483
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 12/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 4183764897
- Enrollment ID: I20120511000085
Medical Identifiers
Medical identifiers for Jack L Cassell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164505483 | NPI | - | NPPES |
| 6515446002 | Other | | CIGNA |
| 04857 | Other | | BCBS FL |
| 254899200 | Medicaid | FL | |
| 340013414 | Other | | RR MEDICARE |
| 053421800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | ME46095 (Florida) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | ME46095 (Florida) | Secondary |
| 208800000X | Urology | ME46095 (Florida) | Primary |
Medical Facilities Affiliation
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. Jack L Cassell allows following entities to bill medicare on his behalf.
| Entity Name | Jack L Cassell M.d. P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366630808
PECOS PAC ID: 4082876974
Enrollment ID: O20120511000099 |
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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. Jack L Cassell 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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Jack L Cassell, MD
717 North Donnelly Street,
Mount Dora, FL 32757
Ph: (352) 383-3773 | Jack L Cassell, MD
717 North Donnelly Street,
Mount Dora, FL 32757
Ph: (352) 383-3773 |
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