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Active NPI 1639512791 Individual Practitioner Female Practitioner

Jaclyn L Mascarin , PA

Physician Assistant • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Jaclyn Mascarin, PA is a registered healthcare professional specializing in Physician Assistant in Port Huron, MI. Practice services are available at 1221 PINE GROVE AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1221 Pine Grove Ave

Port Huron, MI 480603511

Telephone 8109893300
Associated Practice Facility / Clinic
🏢 Mclaren Port Huron Facility NPI 1982685384

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Port Huron, MI (7057 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
44 43 $1783.00 $151.66
99284 Emergency department visit with moderate level of medical decision making
17 16 $1192.82 $103.75

Medical Specialties & State Licenses

CMS Verified: 2023-05-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601011637

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9107043

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

300 Pinellas St # Ms -36

Clearwater, FL 337563804

Phone: 7274627000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Dr. Michael Paul , MD

Emergency Medicine

NPI 1053387035

Doctor of Medicine (M.D.)

NPI 1104127760

Doctor of Osteopathic Medicine (D.O.)

Scott Dedoe , PA-C

Physician Assistant

NPI 1154669257

Physician Assistant (Certified)

Dr. Vipul Khanpara , MD

Emergency Medicine

NPI 1174728372

Doctor of Medicine (M.D.)

Robert Hill , PA-C

Physician Assistant

NPI 1255369658

Physician Assistant (Certified)

Marko Jovanovski , PA-C

Physician Assistant

NPI 1316404403

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 04, 2023

Registered at 1221 PINE GROVE AVE, PORT HURON, MI 480603511 (Tel: 8109893300)

📍
Updated Business Mailing Address May 04, 2023

Registered at PO BOX 595498, FORT GRATIOT, MI 480595498 (Tel: 8103004887)

NPI Profile Active April 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2013

Registered at 300 PINELLAS ST # MS -36, CLEARWATER, FL 337563804 (Tel: 7274627000)

📍
Updated Business Mailing Address April 25, 2013

Registered at PO BOX 17308, CLEARWATER, FL 337620308 (Tel: 3862747800)

👤
Provider Name / Credentials Updated April 25, 2013

Recorded as JACLYN MASCARIN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2013

Physician Assistant (License #PA9107043 in FL)

🟢
Initial NPI Registration & Enumeration April 09, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639512791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2013
Last Update: May 04, 2023
Sole Proprietor: No

Mailing Address

Po Box 595498

Fort Gratiot, MI 480595498

Phone: 8103004887

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.