Jill S Wang (NPI# 1508800020, PAC ID# 5395776215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508800020 |
| PAC ID by PECOS | 5395776215 |
| Professional Enrollment ID | I20050830000607 |
| Full Name | Jill S Wang |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Address |
5515 Cleveland Ave Suite 5 Stevensville MI 49127-9670 |
| Phone Number | 2694299644 |
| Gender | F |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658427042 |
| Number of Group Practice Members | 197 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 230078 | COMMUNITY HOSPITAL- WATERVLIET |
| Address | Phone | Organization |
|---|---|---|
| 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 | 2694299644 | LAKELAND MEDICAL PRACTICES |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Physicians | 207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Daniel Judge | Otolaryngology | Lakeland Medical Practices | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 |
| Deanna Margaret Rucano | Nurse Practitioner | Lakeland Medical Practices | 2500 Niles Ave, 1 Primary Care St Joseph, Saint Joseph, MI 49085-1924 |
| Brandon R Cole | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Kimberlee A Tomerlin | Internal Medicine | Lakeland Medical Practices | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9151 |
| Deanna L Fulbright | Family Medicine | Lakeland Medical Practices | 9045 Us Hwy 31, Berrien Springs, MI 49103-1804 |
| Laurie Ann Gee | Nurse Practitioner | Lakeland Medical Practices | 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208 |
| Riddhi Jay Shah | Dermatology | Lakeland Medical Practices | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9136 |
| Michael James Burton | Pulmonary Disease | Lakeland Medical Practices | 3904 Stonegate Park, Saint Joseph, MI 49085-9130 |
| Elizabeth A Mcglothlin | Family Medicine | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
| Pamela J Klint | Nurse Practitioner | Lakeland Medical Practices | 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 |
| Street Address |
5515 CLEVELAND AVE SUITE 5 |
| City | STEVENSVILLE |
| State | MI |
| Zip | 49127-9670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon R Cole | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Jennifer D Williams | Nurse Practitioner | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Kenneth Oneill | Internal Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Elizabeth R Egle | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Janelle M Cornforth | Nurse Practitioner | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127-9670 |
| Ian A Jackson | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Ronald P Baker | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127-9670 |
| Brian Daniel Facione | Internal Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Wendy L Hays | Nurse Practitioner | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Erin Nichole Hayden | Nurse Practitioner | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William K Wooten | Chiropractic | 5815 Red Arrow Hwy, Stevensville, MI 49127-1142 | |
| Christopher T Schultz | Chiropractic | 2640 W John Beers Rd, Stevensville, MI 49127-1213 | |
| Patrick M Hackett | Chiropractic | Hackett Chiropractic, LLC | 1776 W John Beers Rd, Stevensville, MI 49127-9409 |
| Megan Cynthia Hackett | Chiropractic | Hackett Chiropractic, LLC | 1776 W John Beers Rd, Stevensville, MI 49127-9409 |
| Melanie J Jones | Optometry | 5770 Cleveland Ave, Stevensville, MI 49127-9481 | |
| Kathryn M Vera | Nurse Practitioner | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Georg C Schultz | Pediatric Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127-9670 |
| Kelly Sarah Spooner | Nurse Practitioner | Lakeland Medical Practices | 5515 Cleveland Ave, Stevensville, MI 49127-9670 |
| City | STEVENSVILLE |
| Zip Code | 49127 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STEVENSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jill S Wang.
| 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.