Dr Jacob Randall Lassiter, MD in Crestview, FL - Medicare Obstetrics/gynecology

Dr Jacob Randall Lassiter, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Crestview, Florida. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice North Okaloosa Clinic Corp and his current practice location is 550 Redstone Ave W Ste 470, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 689-2229.

Dr Jacob Randall Lassiter is licensed to practice in Florida (license number ME140756) 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 1295178580.

Contact Information

	Dr Jacob Randall Lassiter, MD
	550 Redstone Ave W Ste 470, Crestview, FL 32536-6457
	(850) 689-2229
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jacob Randall Lassiter
Gender	Male
Speciality	Obstetrics/gynecology
Experience	12 Years
Location	550 Redstone Ave W Ste 470, Crestview, 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.

Medical Education and Training:

Dr Jacob Randall Lassiter graduated from medical school in 2013

NPI Data:

NPI Number: 1295178580
Provider Enumeration Date: 04/17/2013
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 6406087428
Enrollment ID: I20190726000762

Medical Identifiers

Medical identifiers for Dr Jacob Randall Lassiter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295178580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	24652 (Mississippi)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	MD.34009 (Alabama)	Secondary
207V00000X	Obstetrics & Gynecology	ME140756 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Okaloosa Medical Center	Crestview, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Okaloosa Clinic Corp	0244205565	18

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. Dr Jacob Randall Lassiter allows following entities to bill medicare on his behalf.

Entity Name	Crestview Hospital Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861441057 PECOS PAC ID: 3678472313 Enrollment ID: O20040123000275

Entity Name	North Okaloosa Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659329852 PECOS PAC ID: 0244205565 Enrollment ID: O20040831000576

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 Jacob Randall Lassiter 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 Jacob Randall Lassiter, MD 550 Redstone Ave W Ste 470, Crestview, FL 32536-6457 Ph: (850) 689-2229	Dr Jacob Randall Lassiter, MD 550 Redstone Ave W Ste 470, Crestview, FL 32536-6457 Ph: (850) 689-2229

Reviews and Comments

Obstetrics & Gynecology Doctors in Crestview, FL

Dr. Kimberly P Hood, M.D Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 550 Redstone Ave W, Suite 470, Crestview, FL 32536 Phone: 850-689-2223 Fax: 850-689-2204
Dr. Robert S Caputo, D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 194 E Redstone Ave, Suite B, Crestview, FL 32539 Phone: 850-398-8873 Fax: 850-398-8897
Janet S Hamby, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 Redstone Ave W, Suite 450, Crestview, FL 32536 Phone: 850-689-2229 Fax: 850-689-2530
Dr. Sergio J Cabrera, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4100 S Ferdon Blvd, Suite A4, Crestview, FL 32536 Phone: 850-398-8940 Fax: 850-398-8943
Dr. Glenn M Bankert, D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 Redstone Ave W, Suite 470, Crestview, FL 32536 Phone: 850-689-2223 Fax: 850-689-2204

Dr Jacob Randall Lassiter, MD - Medicare Obstetrics/gynecology in Crestview, FL