Dr Lenae E Vanwagnen, MD - Pediatrics in Jackson, MI

Dr Lenae E Vanwagnen, MD is a Pediatrics physician based in Jackson, Michigan. Dr Lenae E Vanwagnen is licensed to practice in Michigan (license number 4301076691) and her current practice location is 1310 Greenwood Ave Lowr Level, Jackson, Michigan. She can be reached at her office (for appointments etc.) via phone at (517) 962-0123.

NPI number for Dr Lenae E Vanwagnen is 1689626400 and her current mailing address is 1310 Greenwood Ave Lowr Level, Jackson, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689626400.

Contact Information

Dr Lenae E Vanwagnen, MD
1310 Greenwood Ave Lowr Level,
Jackson, MI 49203-3077
(517) 962-0123
(517) 201-8067

Map and Direction




Physician's Profile

Full NameDr Lenae E Vanwagnen
GenderFemale
SpecialityPediatrics
Location1310 Greenwood Ave Lowr Level, Jackson, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689626400
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 04/18/2025

Medical Identifiers

Medical identifiers for Dr Lenae E Vanwagnen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689626400NPI-NPPES
200000005064OtherMIPHP
3503810402OtherMIBCBS
7766500OtherMIAETNA
4538139MedicaidMI
139374OtherMIPREFERRED CHOICES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301076691 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lenae E Vanwagnen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lenae E Vanwagnen, MD
1310 Greenwood Ave Lowr Level,
Jackson, MI 49203-3077

Ph: (517) 962-0123
Dr Lenae E Vanwagnen, MD
1310 Greenwood Ave Lowr Level,
Jackson, MI 49203-3077

Ph: (517) 962-0123

Reviews and Comments


Pediatrics Doctors in Jackson, MI

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