Jeffrey C Cassel, MD

Individual provider Active NPI Family Medicine Physician · Westbrook, MN

NPI 1861408387 · NPPES record last updated Mar 19, 2010

Key facts

NPI
1861408387
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
25612 (MN)
Practice address
920 Bell Ave
Westbrook, MN 56183-9669
Phone
(507) 274-6121
Fax
(507) 274-5630
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Family Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25612 MN Yes

Addresses

Primary practice location

920 Bell Ave
Westbrook, MN 56183-9669

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other identifiers

IdentifierTypeStateIssuer
116500300MedicaidMN

Other providers in Westbrook, MN

All providers in Westbrook, MN · Family Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.