Dr Susana Cassaglia, NP, MD is a medicare enrolled "General Practice" provider in Jacksonville, Florida. Her current practice location is
1833 Boulevard, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 383-1040.
Dr Susana Cassaglia is licensed to practice in Puerto Rico (license number 22543) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467997437.
Healthcare Provider's Profile
Full Name | Dr Susana Cassaglia |
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Gender | Female |
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Speciality | General Practice |
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Location | 1833 Boulevard, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467997437
- Provider Enumeration Date: 12/30/2016
- Last Update Date: 10/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709254428
- Enrollment ID: I20221130000201
Medical Identifiers
Medical identifiers for Dr Susana Cassaglia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467997437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
208D00000X | General Practice | 22543 (Puerto Rico) | Primary |
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 Susana Cassaglia allows following entities to bill medicare on her 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: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616 |
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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: 1487814752 PECOS PAC ID: 9133025869 Enrollment ID: O20050414000212 |
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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. Dr Susana Cassaglia 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 Susana Cassaglia, NP, MD Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 383-1040 | Dr Susana Cassaglia, NP, MD 1833 Boulevard, Jacksonville, FL 32206-4382 Ph: (904) 383-1040 |
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