Jerry Lewis, is a
Technician - Attendant Care Provider based in Clarksville, Arkansas. Jerry Lewis is licensed to practice in * (Not Available) (license number ) and his current practice location is
1606r W Cherry St, Clarksville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 979-4909.
NPI number for Jerry Lewis is 1194376178 and his current mailing address is 1606r W Cherry St, Clarksville, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194376178.
Healthcare Provider's Profile
| Full Name | Jerry Lewis |
|---|
| Gender | Male |
|---|
| Speciality | Technician - Attendant Care Provider |
|---|
| Location | 1606r W Cherry St, Clarksville, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194376178
- Provider Enumeration Date: 09/22/2019
- Last Update Date: 11/05/2019
Medical Identifiers
Medical identifiers for Jerry Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194376178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | (* (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. Jerry 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 |
|---|
Jerry Lewis,
1606r W Cherry St,
Clarksville, AR 72830-2506
Ph: (479) 979-4909 | Jerry Lewis,
1606r W Cherry St,
Clarksville, AR 72830-2506
Ph: (479) 979-4909 |
Reviews and Comments