Jessica A Lancaster (NPI# 1225418775, PAC ID# 1355640772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1225418775 |
| PAC ID by PECOS | 1355640772 |
| Professional Enrollment ID | I20190802002376 |
| Full Name | Jessica A Lancaster |
| Organization Legal Name | KENOSHA EMERGENCY PHYSICIANS LLC |
| Address |
9555 76th St Pleasant Prairie WI 53158-1984 |
| Phone Number | 4142906720 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0143125708 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520021 | UNITED HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 9555 76th St, Pleasant Prairie, WI 53158-1984 | 4142906720 | KENOSHA EMERGENCY PHYSICIANS LLC |
| 9555 76th St, Pleasant Prairie, WI 53158-1984 | 4694012386 | UNITED OCCUPATIONAL MEDICINE AND WALK IN SERVICES LLC |
| Organization Legal Name | KENOSHA EMERGENCY PHYSICIANS LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Jason Heidle | Emergency Medicine | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Lauren A Ingles | Physician Assistant | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Leo Treysman | Emergency Medicine | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| James J Kambol | Emergency Medicine | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Stacy L Summers | Physician Assistant | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Gary J Zaid | Emergency Medicine | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Robert G Zick | Emergency Medicine | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Natalia Stasior | Emergency Medicine | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Brian M Huettl | Emergency Medicine | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Annessa F Retlick | Nurse Practitioner | Kenosha Emergency Physicians LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Street Address |
9555 76TH ST |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip | 53158-1984 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leena M Joshi | Internal Medicine | Froedtert South Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| William Jeranek | Family Medicine | Froedtert South Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Saad Mohsin | Family Medicine | Ihc Hospitalists LLC | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Allan M Roza | General Surgery | The Medical College of Wisconsin Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Michelle Gauthier | Family Medicine | Froedtert South Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Kelli Louise Sasada | Obstetrics/gynecology | Froedtert South Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Thomas M Ambro | Obstetrics/gynecology | Froedtert South Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Diana M Saitis | Obstetrics/gynecology | Froedtert South Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Mohammed U Elahi | Internal Medicine | Ihc Hospitalists LLC | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Danielle M Kozak | Nurse Practitioner | Ihc Hospitalists LLC | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Plaskey | Nurse Practitioner | Advanced Pain Management Sc | 9697 St Catherine Dr, Suite 102, Pleasant Prairie, WI 53158 |
| Sumithra Rajendran | Physical Therapy | Paxxon Healthcare Services LLC | 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1928 |
| Camille Marie Koch | Physical Therapy | Paxxon Healthcare Services LLC | 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1928 |
| John M Duguay | Physical Therapy | Paxxon Healthcare Services LLC | 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1928 |
| Casandra N Henningfeld | Qualified Speech Language Pathologist | Paxxon Healthcare Services LLC | 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1928 |
| Jenna Zaffrann | Occupational Therapy | Paxxon Healthcare Services LLC | 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1928 |
| Shaneese L Williams | Physical Therapy | Paxxon Healthcare Services LLC | 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1928 |
| Jann Fujimoto | Speech Language Pathologist | Paxxon Healthcare Services LLC | 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1928 |
| Yvonne E Petersen-zich | Speech Language Pathologist | Paxxon Healthcare Services LLC | 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1928 |
| Laura L Makeever | Nurse Practitioner | 10220 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1946 | |
| Find all physicians in zip 53158 | |||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PLEASANT PRAIRIE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jessica A Lancaster.
| 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.