How to Get Your VA Referral for the Discseel® Procedure

A step-by-step guide to requesting Community Care coverage — with ready-to-send messages and your rights under federal law.

For Our Veterans

If you're a veteran on the Florida panhandle or beyond living with chronic spine pain, Discseel for veterans is now available through VA Community Care. This page walks you through exactly how to request your referral — including copy-and-paste messages you can send to your VA care team and the federal protections that support your right to community care.

1

Send a Secure Message to Your VA Care Team

Log in to My HealtheVet Secure Messaging and send a message to your VA Primary Care Team (PACT) or your Community Care Coordinator. Copy the message below that matches your symptoms.

2

Copy & Send Your Referral Request

For Low Back Pain (Lumbar)
I am requesting a Community Care referral to an Interventional Pain Management specialist for evaluation and treatment of my ongoing low back pain.

Please direct the referral to:
JCJTAM, LLC
Optum Provider Number: 57735494
NPI: 1255036299
EIN: 923248464
Dr. Gerald Mastaw, NPI: 1316993454

Please submit the referral so I can be evaluated and treated as soon as possible. Thank you for your help and support.
For Neck Pain (Cervical)
I am requesting a Community Care referral to an Interventional Pain Management specialist for evaluation and treatment of my ongoing neck pain.

Please direct the referral to:
JCJTAM, LLC
Optum Provider Number: 57735494
NPI: 1255036299
EIN: 923248464
Dr. Gerald Mastaw, NPI: 1316993454

Please submit the referral so I can be evaluated and treated as soon as possible. Thank you for your help and support.

Ask your VA representative to include this exact language — it ensures proper authorization and routing of your care under the VA/Community Care program.

Where the referral should be sent:

Important: Follow up with your VA Primary Care Physician or Community Care Coordinator to process the request. Approval may take several attempts — persistence matters, and our team is here to help.

3

Know Your Rights Before You Send

The MISSION Act

Public Law 115-182, 2018

Interventional Pain Management is specialty care. If the VA cannot schedule you within 28 days, or if your drive time exceeds 60 minutes, you are eligible for community care on that basis alone. Keep a written record of every appointment offer, dates, and drive times — this documents that the access standard has been triggered.

The Senator Elizabeth Dole Act

Public Law 118-210, January 2025

Once you and your VA clinician agree that community care is in your best medical interest, that decision is final. VA administrators may not override it through secondary review. If staff say the referral needs additional approval, you may cite Section 101 of the Elizabeth Dole Act and ask them to proceed.

If your referral stalls:

Day 5, no progress

Contact your VA facility's Office of Community Care and Patient Advocate.

Day 10

Escalate to your VISN Community Care director and your Congressional representative's constituent services office.

Day 14+

VA's published standard is that referral preparation should take up to 14 days. Beyond that, request a written status update and document the delay.

Already Have Your Imaging? Send It to Us

If you have an MRI, CT, or X-ray from the VA or an outside facility, you can upload it securely right now — you do not need to wait for your referral to be approved. Getting your images to us early lets our team review them ahead of your first visit. Accepts CD, DICOM, and standard image files.

Upload your medical images securely to Emerald Coast Integrated Care

Uploads are handled by myMedicalImages, our secure imaging partner. You will be taken to their site to complete the transfer. Questions? Call (800) 931-6086.

We're Here to Help You Through It

Navigating the VA can be frustrating. Our team helps veterans every step of the way — from submitting your referral to getting scheduled.

Emerald Coast

Integrated Care

Pain Management & Spine Care · Primary Care · Mental Health

Mon–Fri, 9:30 AM – 4:30 PM

Send Us Your Imaging

Upload your medical images securely to Emerald Coast Integrated Care

Securely upload an MRI, CT, or X-ray through myMedicalImages.

Destin

3999 Commons Dr W Ste B
Destin, FL 32541

Land O' Lakes

16703 Early Riser Ave
Land O' Lakes, FL 34638
Fax: 844-387-2476

Emerald Coast Integrated Care is a DBA of JCJTAM, LLC. Also operating as Veterans Spine and Discseel® Center of America and Emerald Coast Specialty Spine Clinic.

Trademark & Licensing: Discseel® is a registered trademark of Dr. Kevin Pauza and is used herein with acknowledgment. Dr. Gerald Mastaw is an authorized licensee of the Discseel® procedure. Disc.Seel™, Veterans Disc.Seel™, Intradiscal Therapy with Fibrin (ITF)™, and all related derivative marks are proprietary trademarks of Veterans Spine and Discseel® Center of America. All trademarks are referenced for identification purposes only, and no affiliation, sponsorship, or endorsement is implied beyond the authorized Discseel® licensing relationship held by Dr. Mastaw.

Disclaimer: This website is for informational use only. Nothing on this site constitutes medical, legal, financial, or professional advice. All procedures described are performed only by licensed providers operating within their scope of practice. Results vary, and no outcome is guaranteed.

Florida Pain Management Clinic Status: This clinic holds a Certificate of Exemption from Pain Management Clinic registration issued by the Florida Department of Health under Florida Statutes 458.3265 and 459.0137 — Certificate No. EPMC 1428. The certificate is prominently displayed at the clinic and is available to the Department or the applicable board upon request. Chronic pain is managed here through interventional, image-guided, and function-focused care; the prescribing or management of controlled substances is not a principal focus of the practice.

Veterans Spine and Discseel® Center of America operates as a multi-specialty primary care practice under NPI 1255036299 with taxonomy classifications 193200000X (Multi-Specialty Group) and 208D00000X (General Practice). The clinic provides non-opioid spinal procedures, regenerative care, primary care services, and mental health services consistent with a multi-specialty primary care model.

© 2026 Veterans Spine and Discseel® Center of America. All rights reserved.·NPI: 1316993454
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