Brooke L Lemmen, DO
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · East Lalnsing, MI
NPI 1487864245 · NPPES record last updated Sep 14, 2017
Key facts
- NPI
- 1487864245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 5101016768 (MI)
- Practice address
- 4660 S Hagadorn Rd
Suite 420
East Lalnsing, MI 48823 - Phone
- (517) 884-6100
- Fax
- (517) 884-6233
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Osteopathic Manipulative Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edward W Sparrow Hospital Association
Practice addresses (Care Compare)
2900 Hannah Blvd
East Lansing, MI 48823-5384
Phone (517) 364-8070
Hospital & facility affiliations
- Sparrow Home Care
- Edward W Sparrow Hospital
- McLaren Greater Lansing
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101101000364 | MI | Practitioner - Osteopathic Manipulative Medicine |
2062606353 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Sports Medicine | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients | |
| Edward W Sparrow Hospital Association | Past | Accepting new patients | |
| Lansing Urgent Care, PLC | Past |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050
1575 Ramblewood Dr
East Lansing, MI 48823
Phone (517) 332-3500
1575 Ramblewood Dr
Ste 100
East Lansing, MI 48823
Phone (517) 364-3659
4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100
2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520
2900 Hannah Blvd
Ste 204
East Lansing, MI 48823
Phone (517) 336-4590
2900 Hannah Blvd
Ste 212
East Lansing, MI 48823
Phone (517) 319-1831
5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870
1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710
3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Interoperability endpoints
- brookelemmen@compass.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 5101016768 | MI | Yes |
| Family Medicine Physician | 207Q00000X | 5101016768 | MI |
Addresses
Primary practice location
4660 S Hagadorn Rd
Suite 420
East Lalnsing, MI 48823
Mailing address
1575 Ramblewood Dr
East Lansing, MI 48823-6384
Phone (517) 884-2976
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487564245 | Medicaid | MI |
Other providers in East Lalnsing, MI
All providers in East Lalnsing, MI · Sports Medicine (Family Medicine) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.