Lacey L Jandrin (NPI# 1104183516, PAC ID# 8820380132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104183516 |
| PAC ID by PECOS | 8820380132 |
| Professional Enrollment ID | I20160707000393 |
| Full Name | Lacey L Jandrin |
| Organization Legal Name | BAYCARE CLINIC LLP |
| Address |
501 N 10th St Manitowoc WI 54220-4039 |
| Phone Number | 9206826376 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4385554328 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520193 | AURORA BAYCARE MEDICAL CENTER |
| 520034 | AURORA MEDICAL CTR MANITOWOC COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 1160 Kepler Dr, Green Bay, WI 54311-8321 | 9202885555 | BAYCARE CLINIC LLP |
| 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | BAYCARE CLINIC LLP | |
| 501 N 10th St, Manitowoc, WI 54220-4039 | 9206826376 | BAYCARE CLINIC LLP |
| 719 Doctors Ct, Oshkosh, WI 54901-2077 | BAYCARE CLINIC LLP |
| Organization Legal Name | BAYCARE CLINIC LLP |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan R Woods | Orthopedic Surgery | Baycare Clinic LLP | 1160 Kepler Dr, Green Bay, WI 54311-8321 |
| Ethan T Shaver | Physician Assistant | Baycare Clinic LLP | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Chad R Seubert | Oral Surgery | Baycare Clinic LLP | 2581 Development Dr, Green Bay, WI 54311-4246 |
| Madeline C Almond | Ophthalmology | Baycare Clinic LLP | 2140 Velp Ave, Green Bay, WI 54303-6492 |
| Kevin Pa Wienkers | Ophthalmology | Baycare Clinic LLP | 30 N 18th Ave Bldg, Suite 6, Sturgeon Bay, WI 54235-3207 |
| Ashley M Spindler | Physician Assistant | Baycare Clinic LLP | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Brian E Bozelka | Ophthalmology | Baycare Clinic LLP | 1400 University Dr, Marinette, WI 54143-5105 |
| Brad J Lavallie | Optometry | Baycare Clinic LLP | 323 E Highland Dr, Suite 8, Oconto Falls, WI 54154-1006 |
| Benjamin E Phillips | Ophthalmology | Baycare Clinic LLP | 4801 Expo Dr, Manitowoc, WI 54220-9341 |
| Thomas J Wilkins | Physical Medicine and Rehabilitation | Baycare Clinic LLP | 2401 Holmgren Way, Green Bay, WI 54304-5224 |
| Street Address |
501 N 10TH ST |
| City | MANITOWOC |
| State | WI |
| Zip | 54220-4039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey L Hladish | Physician Assistant | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Ashley Nichole Huntley | Physician Assistant | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Cathy M Sukowaty | Nurse Practitioner | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Craig L Olson | Orthopedic Surgery | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Jason George Devries | Podiatry | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Carl A Diraimondo | Orthopedic Surgery | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Jonathan C Henry | Orthopedic Surgery | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Robert David Rusch | Physician Assistant | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| John Adam Hamilton | Orthopedic Surgery | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| David J Kuester | Orthopedic Surgery | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Heimerl | Chiropractic | 1632 N 18th St, Manitowoc, WI 54220-1858 | |
| Brenda L Stallbaum | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mary Beth Reynoso | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Glenda A Mcconnell | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mylan Kohler | Psychiatry | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Callie Schroeder | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Cameron A Goetz | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Ellen A Rylander | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Joanna M Smogoleski | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Amber M Schmitz | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Find all physicians in zip 54220 | |||
| City | MANITOWOC |
| Zip Code | 54220 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MANITOWOC + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lacey L Jandrin.
| 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.