Dr Clinton Jared Lewin, PSYD is a medicare enrolled "Psychologist" provider in Linthicum, Maryland. His current practice location is
839 Elkridge Landing Rd Ste 211, Linthicum, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 703-6784.
Dr Clinton Jared Lewin is licensed to practice in Maryland (license number 05951) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194245589.
Healthcare Provider's Profile
Full Name | Dr Clinton Jared Lewin |
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Gender | Male |
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Speciality | Psychologist |
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Location | 839 Elkridge Landing Rd Ste 211, Linthicum, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194245589
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 12/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799023164
- Enrollment ID: I20231011000100
Medical Identifiers
Medical identifiers for Dr Clinton Jared Lewin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194245589 | NPI | - | NPPES |
05951 | Other | MD | LICENSED PSYCHOLOGIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 05951 (Maryland) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Clinton Jared Lewin allows following entities to bill medicare on his behalf.
Entity Name | Lewin Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275012312 PECOS PAC ID: 9234584285 Enrollment ID: O20231011000065 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clinton Jared Lewin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Clinton Jared Lewin, PSYD 6400 Baltimore National Pike Ste 170a-168, Catonsville, MD 21228-3930 Ph: (410) 703-6784 | Dr Clinton Jared Lewin, PSYD 839 Elkridge Landing Rd Ste 211, Linthicum, MD 21090-2946 Ph: (410) 703-6784 |
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