Dr Melinda Gaye Lewis, LPA is a medicare enrolled "Psychologist" provider in Glen Rose, Texas. Her current practice location is
1104 Hereford St, Glen Rose, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 302-4597.
Dr Melinda Gaye Lewis is licensed to practice in Texas (license number 14339) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801125646.
Healthcare Provider's Profile
| Full Name | Dr Melinda Gaye Lewis |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1104 Hereford St, Glen Rose, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801125646
- Provider Enumeration Date: 12/07/2009
- Last Update Date: 05/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 3072051630
- Enrollment ID: I20240813004436
Medical Identifiers
Medical identifiers for Dr Melinda Gaye Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801125646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 72023 (Texas) | Secondary |
| 103TS0200X | Psychologist - School | 30157 (Texas) | Secondary |
| 103T00000X | Psychologist | 14339 (Texas) | Primary |
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 Melinda Gaye Lewis 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 Melinda Gaye Lewis, LPA
1030 E Hwy 377 Ste 110169,
Granbury, TX 76048-1456
Ph: (817) 559-7989 | Dr Melinda Gaye Lewis, LPA
1104 Hereford St,
Glen Rose, TX 76043
Ph: (682) 302-4597 |
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