| Daniel Fassett, MD, MBA | |
|
1141 Patterson Ter, Lake Mary, FL 32746-2203 | |
| (844) 407-4070 | |
| (407) 743-3050 |
| Full Name | Daniel Fassett |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 25 Years |
| Location | 1141 Patterson Ter, Lake Mary, Florida |
| 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 |
|---|---|---|---|
| 1205902442 | NPI | - | NPPES |
| 036-117618 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036117618 (Illinois) | Secondary |
| 207T00000X | Neurological Surgery | ME154265 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Waterman | Tavares, FL | Hospital |
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Medical Group Inc | 0749186153 | 1237 |
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Rothman Orthopaedics Of Florida,pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669086872 PECOS PAC ID: 4880009786 Enrollment ID: O20210225002644 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Fassett, MD, MBA 833 Chestnut St Ste 520, Philadelphia, PA 19107-4430 Ph: (609) 677-7003 | Daniel Fassett, MD, MBA 1141 Patterson Ter, Lake Mary, FL 32746-2203 Ph: (844) 407-4070 |
Dr. Pedro Miguel Ramirez, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 978 International Pkwy Ste 1440, Lake Mary, FL 32746 Phone: 407-624-5028 Fax: 407-624-5040 |