Occupational Therapist | 10+ years experience

Lacey L Jandrin, PA-C

1970 S Ridge Rd, Green Bay, Wisconsin, 54304-4125

About Lacey L Jandrin

Lacey L Jandrin is a therapist based in Green Bay, Wisconsin with 10 years of experience in Occupational Therapy. She completed her graduation from University Of North Dakota School Of Medicine in 2016. She is also affiliated with hospitals like and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lacey L Jandrin is 3761-23 for Occupational Therapy in Wisconsin. Her current practice location is 1970 S Ridge Rd, Green Bay. Patients can reach her at 920-430-4888 or can fax her at 920-430-4889. Lacey L Jandrin is PA-C in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1104183516.

Lacey L Jandrin provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.

Practice Information

Lacey L Jandrin speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.

Provider Name Lacey L Jandrin
Specialization Occupational Therapy
Credentials PA-C
Accepts Medicare Assignment Yes
Experience 10+ years
Medical School Attended University Of North Dakota School Of Medicine
Graduation Year 2016
Gender Female
Practice Address: 1970 S Ridge Rd,
Green Bay, WI - 54304-4125
Fax 920-430-4889

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.

PAC ID 8820380132
Enrollment ID I20160707000393
NPI Number1104183516
NPI Enumeration Date: 23 Apr, 2012
NPI Last Update On: 30 Jan, 2023

Medical Licenses:

Healthcare professionals can hold one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lacey L Jandrin are as mentioned below.

License NumberSpecializationStateStatus
3761-23Occupational Therapy WisconsinPrimary
4712Occupational Therapy WisconsinSecondary
1135070Physician Assistant WisconsinSecondary

Hospital Affiliation

Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) StateHospital Type
(520193)Green bay, WIAcute Care Hospital
(520034)Two rivers, WIAcute Care Hospital

Group Practice

Group practices are practice of medicine by a group of healthcare professionals who share their premises and other resources. Following list states all the group name with which Lacey L Jandrin is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Baycare Clinic Llp (4385554328)175

Other Medical Identifiers

Other legacy medical identifiers associated with Lacey L Jandrin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1135070OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

Mailing Address

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

Lacey L Jandrin
Po Box 22487,
Green Bay, WI - 54305-2487
Phone: 920-445-7210
Fax: 920-445-7289

Book an Appointment with Lacey L Jandrin

To schedule an appointment, contact Lacey L Jandrin at 1970 S Ridge Rd, Green Bay, Wisconsin or call on below stated phone number.

Call to Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Lacey L Jandrin:

Lacey L Jandrin is an occupational therapist specializing in Occupational Therapy. She Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.

Lacey L Jandrin completed her education (PA-C) from University Of North Dakota School Of Medicine in 2016.

Lacey L Jandrin has approximately 10 years of experience in Occupational Therapy.

Yes, Lacey L Jandrin accepts Medicare assignment, meaning the provider participates in Medicare and accepts Medicare-approved amounts for eligible services.

Yes, Lacey L Jandrin is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.

Lacey L Jandrin practices at 1970 S Ridge Rd, Green Bay, Wisconsin, 54304-4125.

To schedule an appointment with Lacey L Jandrin, please contact the office at 920-430-4888.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.