| Jason Keith Fackler, ARNP | |
|
803 E Dixie Ave Fl 34748, Leesburg, FL 34748-6013 | |
| (352) 530-2256 | |
| Not Available |
| Full Name | Jason Keith Fackler |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 803 E Dixie Ave Fl 34748, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609564566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | APRN11026036 (Florida) | Primary |
| Entity Name | Cardiothoracic & Vascular Surgical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851403125 PECOS PAC ID: 5395725188 Enrollment ID: O20040722000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Keith Fackler, ARNP 7600 Brandenburg Rd, Ekron, KY 40117-8529 Ph: (859) 979-0151 | Jason Keith Fackler, ARNP 803 E Dixie Ave Fl 34748, Leesburg, FL 34748-6013 Ph: (352) 530-2256 |
Ronnie Sabbah, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 803 E Dixie Ave, Leesburg, FL 34748 Phone: 352-530-2256 Fax: 352-414-4638 | |
Dr. Marays Veliz, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 1001, Leesburg, FL 34748 Phone: 352-787-9448 Fax: 352-787-3250 | |
Mrs. Lourdes M Mathew, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 732 North Third Street, Leesburg, FL 31748 Phone: 352-728-2532 Fax: 352-728-3004 | |
Miguel A Gonzalez, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 33025 Professional Drive, Leesburg, FL 34788 Phone: 352-314-2999 Fax: 352-314-2666 | |
Bogdan Gogioiu, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Dr. Dante Vito Nuzzo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4700 Via Del Medico, Leesburg, FL 34748 Phone: 352-323-4800 Fax: 352-323-9103 | |
Dr. John Richard Hurt Ii, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 511 Medical Plaza Dr, Leesburg, FL 34748 Phone: 352-728-6808 Fax: 352-728-3637 |