| Jack L Cassell, MD | |
|
717 North Donnelly Street, Mount Dora, FL 32757 | |
| (352) 383-3773 | |
| (352) 383-4434 |
| Full Name | Jack L Cassell |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 44 Years |
| Location | 717 North Donnelly Street, Mount Dora, 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 |
|---|---|---|---|
| 1164505483 | NPI | - | NPPES |
| 6515446002 | Other | CIGNA | |
| 04857 | Other | BCBS FL | |
| 254899200 | Medicaid | FL | |
| 340013414 | Other | RR MEDICARE | |
| 053421800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME46095 (Florida) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | ME46095 (Florida) | Secondary |
| 208800000X | Urology | ME46095 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Waterman | Tavares, FL | Hospital |
| Uf Health Leesburg Hospital | Leesburg, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Entity Name | Jack L Cassell M.d. P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366630808 PECOS PAC ID: 4082876974 Enrollment ID: O20120511000099 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
James W Young Iii, MD Urology Medicare: Medicare Enrolled Practice Location: 996 Fairview Ave, Mount Dora, FL 32757 Phone: 352-729-2399 |