Jaclyn L. Mascarin, PA
NPI 1639512791ActiveIndividual· Physician Assistant· Port Huron, MI
Physician Assistant (PA) in Port Huron, Michigan, licensed in MI and FL, with an NPI issued in April 2013. Part D covered 18 prescriptions written in 2024, 78% of them generic.
Overview
| NPI | 1639512791 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Apr 9, 2013 |
| Last updated in NPPES | May 4, 2023 |
| Certified by provider | May 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601011637 | MI |
| Physician Assistant | 363A00000X | PA9107043 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 18 · 24 30-day fills |
|---|---|
| Total drug cost | $429.48 |
| Generic share | 78% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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