Jack L Cassell M.D. P.A.
NPI 1366630808ActiveOrganization· Specialist· Mount Dora, FL
Specialist in Mount Dora, Florida, registered in NPPES in October 2007, part of Jack L Cassell M.D. P.A. The authorized official on file is Jack L. Cassell, M.D., Owner/Physican. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366630808 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Jack L Cassell M.D. P.A. |
| NPI issued | Oct 10, 2007 |
| Last updated in NPPES | Dec 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | ME46095 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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