| Jessica Rae Lyon, | |
|
5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | |
| (877) 336-6307 | |
| (734) 887-8979 |
| Full Name | Jessica Rae Lyon |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5301 Mcauley Dr, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205333077 | NPI | - | NPPES |
| 1205333077 | Medicaid | WI |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Rae Lyon, 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 266-6800 | Jessica Rae Lyon, 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 Ph: (877) 336-6307 |
Lindsey Nicole Farah-brunner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3325 Fax: 734-712-5525 | |
Dr. Samuel Abebe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5593 Redbud Ct, Ypsilanti, MI 48197 Phone: 734-846-2547 | |
Dr. Sandra B Cadichon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3327 Fax: 734-712-5525 | |
Yolaine A Civil, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Arnet St, Suite 200, Ypsilanti, MI 48198 Phone: 734-484-7288 | |
Elizabeth Marjorie Stone, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4936 West Clark Rd., Suite 101, Ypsilanti, MI 48197 Phone: 734-434-3000 Fax: 734-434-8040 | |
Eliza Gardiner Stensland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3325 Fax: 734-712-5525 | |
Dr. Bradley Judge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 E Huron River Dr, Department Of Pediatrics, Ypsilanti, MI 48197 Phone: 734-712-3325 |