Jennifer M Lyon (NPI# 1528283199, PAC ID# 9234213653) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528283199 |
| PAC ID by PECOS | 9234213653 |
| Professional Enrollment ID | I20080225000349 |
| Full Name | Jennifer M Lyon |
| Organization Legal Name | BROOKSIDE FAMILY MEDICINE A CENTER FOR HEALTH AND WELL-BEING PLC |
| Address |
647 E 8th St Traverse City MI 49686-2682 |
| Phone Number | 2319220400 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 1658326558 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230097 | MUNSON MEDICAL CENTER |
| 231300 | PAUL OLIVER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 647 E 8th St, Traverse City, MI 49686-2682 | 2319220400 | BROOKSIDE FAMILY MEDICINE A CENTER FOR HEALTH AND WELL-BEING PLC |
| Organization Legal Name | BROOKSIDE FAMILY MEDICINE A CENTER FOR HEALTH AND WELL-BEING PLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra K Graetz | Family Medicine | Brookside Family Medicine A Center for Health and Well-being Plc | 647 E 8th St, Traverse City, MI 49686-2682 |
| Molly A Craven | Family Medicine | Brookside Family Medicine A Center for Health and Well-being Plc | 647 E 8th St, Traverse City, MI 49686-2682 |
| Christa J Kiessel | Nurse Practitioner | Brookside Family Medicine A Center for Health and Well-being Plc | 647 E 8th St, Traverse City, MI 49686-2682 |
| Street Address |
647 E 8TH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49686-2682 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra K Graetz | Family Medicine | Brookside Family Medicine A Center for Health and Well-being Plc | 647 E 8th St, Traverse City, MI 49686-2682 |
| Molly A Craven | Family Medicine | Brookside Family Medicine A Center for Health and Well-being Plc | 647 E 8th St, Traverse City, MI 49686-2682 |
| Christa J Kiessel | Nurse Practitioner | Brookside Family Medicine A Center for Health and Well-being Plc | 647 E 8th St, Traverse City, MI 49686-2682 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Robert Frew Jr. | Family Medicine | 814 S Garfield Ave C, Frew Care Clinic, Traverse City, MI 49686-2401 | |
| Lindsay M Best | Family Medicine | Best Medical Services Plc | 814 S Garfield Ave, Suite C, Traverse City, MI 49686-2401 |
| Mary A Joslin | Clinical Social Worker | 814 S Garfield Ave, Suite B, Traverse City, MI 49686-2401 | |
| David Kenneth Best | Family Medicine | Best Medical Services Plc | 814 S Garfield Ave, Suite C, Traverse City, MI 49686-2401 |
| Judy G Hayes Daly | Clinical Social Worker | 814 S Garfield Ave, Suite B, Traverse City, MI 49686-2401 | |
| Bruce G Douglass | Psychologist, Clinical | 934 S Garfield Ave C, Traverse City, MI 49686-2402 | |
| Peter J Zoutendyk Jr. | Clinical Social Worker | 810 S Garfield Ave, Suite B, Traverse City, MI 49686-2406 | |
| Dustine K Murphy | Chiropractic | Murphy Chiropractic, Plc. | 616 E 8th St, Suite 1, Traverse City, MI 49686-2505 |
| Michael P Murphy | Chiropractic | Murphy Chiropractic, Plc. | 616 E 8th St, Suite 1, Traverse City, MI 49686-2505 |
| Amy Irene Mummert | Optometry | 522 E 8th St, Traverse City, MI 49686-2629 | |
| Find all physicians in zip 49686 | |||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TRAVERSE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jennifer M Lyon.
| 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.