Kaitlin M Lassen (NPI# 1093263873, PAC ID# 8921389057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093263873 |
| PAC ID by PECOS | 8921389057 |
| Professional Enrollment ID | I20180411001614 |
| Full Name | Kaitlin M Lassen |
| Organization Legal Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Address |
2200 W Eau Gallie Blvd Melbourne FL 32935-3166 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486558012 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100315 | VIERA HOSPITAL |
| 100177 | CAPE CANAVERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 | MEDICAL ASSOCIATES OF BREVARD LLC | |
| 8057 Spyglass Hill Rd, Suite 104, Melbourne, FL 32940-8565 | 3217523888 | MEDICAL ASSOCIATES OF BREVARD LLC |
| Organization Legal Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Jane Lis | Nurse Practitioner | Medical Associates of Brevard LLC | 1380 S Patrick Dr, Suite 1, Satellite Bch, FL 32937-4375 |
| Jacquelyn Merrill | Nurse Practitioner | Medical Associates of Brevard LLC | 5200 Babcock St Ne, Suite 103, Palm Bay, FL 32905-4639 |
| Holly Carter Bell | Nurse Practitioner | Medical Associates of Brevard LLC | 402 N Babcock St, Suite 102, Melbourne, FL 32935-7335 |
| James D Kearney | Internal Medicine | Medical Associates of Brevard LLC | 580 N Wickham Rd, Suite A, Melbourne, FL 32935-8400 |
| Sudeshna Mitra | Internal Medicine | Medical Associates of Brevard LLC | 397 N Wickham Rd, Suite 101, Melbourne, FL 32935-8669 |
| John Turse | Gastroenterology | Medical Associates of Brevard LLC | 200 Michigan Ave, Melbourne, FL 32901-3100 |
| Parvesh K Bansal | Pulmonary Disease | Medical Associates of Brevard LLC | 1400 Pine St, Melbourne, FL 32901-3170 |
| James T Go | Otolaryngology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3134 |
| Mudanai Panneerselvam Sabapathy | Internal Medicine | Medical Associates of Brevard LLC | 3044 W New Haven Ave, West Melbourne, FL 32904-3566 |
| Miguel L Lorente | Internal Medicine | Medical Associates of Brevard LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Street Address |
2200 W EAU GALLIE BLVD |
| City | MELBOURNE |
| State | FL |
| Zip | 32935-3166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamer S Ahmed | Nephrology | Space Coast Nephrology Associates Pllc | 2200 W Eau Gallie Blvd, Suite 202b, Melbourne, FL 32935-3166 |
| Ronald A Turck Jr. | Neurology | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 |
| Simmy Pinto | Pulmonary Disease | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 |
| Gopal Gadodia | Cardiovascular Disease (cardiology) | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3166 |
| Anju Grover | Internal Medicine | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 |
| Jennifer A Hanley | Physician Assistant | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 |
| Zaw Htay | Infectious Disease | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 |
| Rakesh Patel | Cardiovascular Disease (cardiology) | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3166 |
| Shashin R Desai | Cardiovascular Disease (cardiology) | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3166 |
| Nitin Jain | Internal Medicine | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivas R Dontineni | Internal Medicine | 2800 Aurora Rd, Suite F, Melbourne, FL 32935-2015 | |
| Madhavi T Chary | Internal Medicine | 2800 Aurora Rd, Suite F, Melbourne, FL 32935-2015 | |
| Robert Dunne | Podiatry | 2717 N Wickham Rd, Suite 4, Melbourne, FL 32935-2200 | |
| Sharon Sinangote Haner | Physical Therapy | Central Florida Spine and Injury LLC | 2755 N Wickham Rd, Suite 102, Melbourne, FL 32935-2226 |
| Gregory C Priest | Chiropractic | 2755 N Wickham Rd, Suite 104, Melbourne, FL 32935-2226 | |
| Kathy D Rohaley | Physical Therapy | Central Florida Spine and Injury LLC | 2755 N Wickham Rd, Suite 102, Melbourne, FL 32935-2226 |
| Evan Michael Rush | Chiropractic | 2755 N Wickham Rd, Suite 104, Melbourne, FL 32935-2226 | |
| Anne M Gregas | Optometry | 3200 N Wickham Rd, Suite 1, Melbourne, FL 32935-2321 | |
| Mark Dillon | Gastroenterology | 3150 N Wickham Rd, Suite 6, Melbourne, FL 32935-2322 | |
| Thomas K Velleff | Pain Management | 3150 N Wickham Rd, Suite 9, Melbourne, FL 32935-2322 | |
| Find all physicians in zip 32935 | |||
| City | MELBOURNE |
| Zip Code | 32935 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MELBOURNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kaitlin M Lassen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.