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JILL ANNE LEBOURDAIS PA NPI 1447216999


NPI Information

NPI: 1447216999
Provider Name: JILL ANNE LEBOURDAIS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4905 BERL DR
SAGINAW, MI
ZIP 48604
Phone: (989) 996-0566
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Jill Anne Lebourdais, PA is a medical physician assistant in Saginaw, MI with 25 years of experience. Jill Anne Lebourdais, PA NPI is 1447216999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4905 BERL DR
SAGINAW, MI
ZIP 48604-801
Phone: (989) 996-0566
Fax: (989) 583-6915

The NPI 1447216999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 4/25/2006 and was last updated on 5/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical5601003221MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G36021055MEDICARE PINMICHIGAN
2P00088330OTHERRAILROAD MEDICARE
30992118OTHERMICHIGANHEALTH PLUS
4N80100001MEDICARE PINMICHIGAN
526401OTHERMICHIGANHEALTH PLAN OF MI
65731192OTHERMICHIGANBCBSM
74472609MEDICAIDMICHIGAN
8MI5598002MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.