| Dr Jill S Wang, MD | |
|
5515 Cleveland Ave, Stevensville, MI 49127-9670 | |
| (269) 429-9644 | |
| (269) 429-4002 |
| Full Name | Dr Jill S Wang |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 5515 Cleveland Ave, Stevensville, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508800020 | NPI | - | NPPES |
| 1101110672 | Other | MI | BLUE CROSS PIN |
| 4725409 | Medicaid | MI | |
| P00245264 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301085238 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Homecare | Benton harbor, MI | Home health agency |
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill S Wang, MD 5515 Cleveland Ave, Stevensville, MI 49127-9670 Ph: (269) 429-9644 | Dr Jill S Wang, MD 5515 Cleveland Ave, Stevensville, MI 49127-9670 Ph: (269) 429-9644 |
Kenneth J O'neill, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-9644 Fax: 269-429-4002 | |
Brian Facione, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127 Phone: 269-429-9644 Fax: 269-429-4002 |