Timothy Lasseter, DO is a medicare enrolled "Internal Medicine" physician in Green Cove Springs, Florida. He went to Lake Erie Col Of Osteopathic Medicine, Bradenton and graduated in 2022 and has 4 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice University Of Florida Jacksonville Physicians, Inc., Millennium Physician Group Llc and his current practice location is
705 Ferris St, Green Cove Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 284-4510.
Timothy Lasseter is licensed to practice in Florida (license number OS21902) 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 1255081147.
Physician's Profile
| Full Name | Timothy Lasseter |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 4 Years |
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| Location | 705 Ferris St, Green Cove Springs, 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:
- Timothy Lasseter attended and graduated from Lake Erie Col Of Osteopathic Medicine, Bradenton in 2022
NPI Data:
- NPI Number: 1255081147
- Provider Enumeration Date: 03/24/2022
- Last Update Date: 07/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 5496127177
- Enrollment ID: I20250318002067
Medical Identifiers
Medical identifiers for Timothy Lasseter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255081147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | OS21902 (Florida) | Primary |
| 208D00000X | General Practice | OS21902 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 908 |
| Millennium Physician Group Llc | 9830244433 | 976 |
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. Timothy Lasseter allows following entities to bill medicare on his behalf.
| Entity Name | University of Florida Jacksonville Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786 |
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| Entity Name | Millennium Physician Group LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338 |
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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. Timothy Lasseter 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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Timothy Lasseter, DO
2675 Winkler Ave Ste 200,
Fort Myers, FL 33901-9328
Ph: (877) 856-3774 | Timothy Lasseter, DO
705 Ferris St,
Green Cove Springs, FL 32043-4025
Ph: (904) 284-4510 |
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