Mark Thomas Vander Lugt

M.D. | Pediatric Hematology-Oncology | Male

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Complete Profile:

Mark Thomas Vander Lugt basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Mark Thomas Vander Lugt
Credential :	M.D.
Gender :	Male

Business Address:

Mark Thomas Vander Lugt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1500 East Medical Center Drive, 7th Floor C.s. Mott Childrens Hospital Ann Arbor, MI, 48109-4257 United States
Phone Number :	734-936-9814

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1861562985
NPI Entity Type :	Individual
First Enrolment Date :	08 Nov, 2006
Last Updated On :	02 Aug, 2016

Medicare Participation:

Mark Thomas Vander Lugt participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8921257189
Medicare Enrollment ID :	I20160727001356
Primary Specialty :	Pediatric Medicine
Medical School :	Medical College Of Wisconsin
Graduation Year :	2006
Accepts Medicare?	Yes. Mark Thomas Vander Lugt accepts medicare insurance.

Group Practice Association:

Mark Thomas Vander Lugt is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark Thomas Vander Lugt is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp A Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp B Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Suite 0331 Ann Arbor, MI - 481090999 Ph: 7349365738	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Lr Rm C213 Recp C Med Inn Ann Arbor, MI - 481090999 Ph: 7347635459	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp C Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp D Taubman Center Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr B1 Floor Recp Emergency University Hosptial Ann Arbor, MI - 481090999 Ph: 7349366666	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp E Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp F Taubman Center Ann Arbor, MI - 481090999 Ph: 7349365823	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr 2nd Floor Recp G Taubman Center Ann Arbor, MI - 481090999 Ph: 7349365020	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp G Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Emg Lab University Hospital Ann Arbor, MI - 481090999 Ph: 7349367184	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr Level 358 Cancer And Geriatrics Center Ann Arbor, MI - 481090999 Ph: 7346478901	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp 2b355 University Hopital Ann Arbor, MI - 481090999 Ph: 7349369250	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Room Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 3rd Fl Taubman Ctr Recp A Ann Arbor, MI - 481095000 Ph: 7346477321	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr Ann Arbor, MI - 481095000	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Fl Rec D Taubman Center Ann Arbor, MI - 481095000 Ph: 7347645175	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Fl Taubman Ctr Rec D Ann Arbor, MI - 481095000 Ph: 7349364185	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Fl Rec F Mott Hospital Ann Arbor, MI - 481095000 Ph: 7347645176	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Thomas Vander Lugt are as mentioned. Primary taxonomy code for Mark Thomas Vander Lugt, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No	MD446513	PA
390200000X	Student in an Organized Health Care Education/Training Program	No
208000000X	Pediatrics	No	4301094130	MI
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	4301094130	MI

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3621 South State Street, 700 Kms Place Ann Arbor, MI, 48108 United States
Phone Number :	734-936-2047

Business Location:

Patients can refer following map for directions to Mark Thomas Vander Lugt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.