Eathell Bernice Lewis, is a
Clinic/center - Mental Health (including Community Mental Health Center) based in Randallstown, Maryland. Eathell Bernice Lewis is licensed to practice in * (Not Available) (license number 21011733) and her current practice location is
9331 Liberty Rd Suite 2c, Randallstown, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 414-9699.
NPI number for Eathell Bernice Lewis is 1043970510 and her current mailing address is 3812 Sandy Hook Road 3812 Sand, Randallstown, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043970510.
Healthcare Provider's Profile
Full Name | Eathell Bernice Lewis |
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Gender | Female |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
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Location | 9331 Liberty Rd Suite 2c, Randallstown, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043970510
- Provider Enumeration Date: 12/27/2021
- Last Update Date: 03/07/2022
Medical Identifiers
Medical identifiers for Eathell Bernice Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043970510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Maryland) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 211011733 (Maryland) | Secondary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 21011733 (* (Not Available)) | 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. Eathell Bernice Lewis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eathell Bernice Lewis, 3812 Sandy Hook Road 3812 Sand, Randallstown, MD 21133 Ph: (443) 414-9699 | Eathell Bernice Lewis, 9331 Liberty Rd Suite 2c, Randallstown, MD 21133-3525 Ph: (443) 414-9699 |
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