| Jill Alina Lancaster, MD | |
|
39901 Traditions Dr, Suite 240, Northville, MI 48168-9493 | |
| (248) 888-9000 | |
| Not Available |
| Full Name | Jill Alina Lancaster |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 39901 Traditions Dr, Northville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437185998 | NPI | - | NPPES |
| 1462837 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 15584R (Louisiana) | Secondary |
| 208000000X | Pediatrics | 4301088930 (Michigan) | Primary |
| Entity Name | Regents Of The University Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Alina Lancaster, MD 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047 | Jill Alina Lancaster, MD 39901 Traditions Dr, Suite 240, Northville, MI 48168-9493 Ph: (248) 888-9000 |
Kathleen Frances Delaney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39901 Traditions Dr, Northville, MI 48168 Phone: 734-539-5080 | |
Heba Abu-isa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-305-4400 | |
David A Hanauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Drive, Suite 240, Northville, MI 48158 Phone: 248-305-4400 | |
Shannon Leigh Taut, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-305-4400 | |
Sarah Jane Laginess, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39901 Traditions Dr, Northville, MI 48168 Phone: 249-354-4400 | |
Latisha Nicole Carter-blanks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-888-9000 |