Individual provider Active NPI

Marie-Louise T. Sagan-Yewah, M.D.

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1336225978
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301080044 Issued in MI
Practice address
2815 S Pennsylvania Ave Ste 105
Lansing, MI 48910-3496
Phone
(517) 975-9830
Fax
(517) 975-9840
NPI assigned
Oct 27, 2006
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301080044 MI Primary

Addresses

Primary practice location

2815 S Pennsylvania Ave Ste 105
Lansing, MI 48910-3496

Mailing address

PO Box 775429
Chicago, IL 60677-5429
Phone (517) 975-9830

Other identifiers 7

IdentifierTypeStateIssuer
200000006850OtherMIPHYSICIANS HEALTH PLAN
4938195MedicaidMI
080D410020OtherMIBCN
1022695OtherMIHEALTH ADVANTAGE NETWORK
O80D410020OtherMIBCBS
1022695OtherMIMCLAREN HEALTH PLAN
5740111OtherMIFIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061129000053 MI Practitioner - Family Practice 5698773604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

Practice addresses (Care Compare)

6465 Millennium
Suite 100
Lansing, MI 48917-7831
Phone (517) 975-3720

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
McLaren Greater Lansing Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
McLaren Greater Lansing Past Accepting new patients

Locations

12805 Escanaba Dr
Ste 2
Dewitt, MI 48820
Phone (517) 367-5520

2815 S Pennsylvania Ave
Ste 105
Lansing, MI 48910
Phone (517) 487-8255

6465 Millennium
Ste 100
Lansing, MI 48917
Phone (517) 975-3720

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1336225978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775429",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775429",
            "telephone_number": "517-975-9830",
            "fax_number": "517-975-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-975-9830",
            "fax_number": "517-975-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAN-YEWAH",
        "first_name": "MARIE-LOUISE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000006850",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4938195",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "080D410020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE NETWORK",
            "identifier": "1022695",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "O80D410020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1022695",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5740111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.