Miss Gelisa Evette Lewis, MSW is a medicare enrolled "Social Worker - Clinical" provider in Stockbridge, Georgia. Her current practice location is
606 Cameron Landing Dr, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 955-3547.
Miss Gelisa Evette Lewis is licensed to practice in Maryland (license number 25347) 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 1487027421.
Healthcare Provider's Profile
Full Name | Miss Gelisa Evette Lewis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 606 Cameron Landing Dr, Stockbridge, Georgia |
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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: 1487027421
- Provider Enumeration Date: 11/12/2015
- Last Update Date: 09/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729432406
- Enrollment ID: I20230928003262
Medical Identifiers
Medical identifiers for Miss Gelisa Evette Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487027421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 25347 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 25347 (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. Miss Gelisa Evette Lewis allows following entities to bill medicare on her behalf.
Entity Name | Safe Harbor Behavioral Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
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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. Miss Gelisa Evette 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 |
Miss Gelisa Evette Lewis, MSW 606 Cameron Landing Dr, Stockbridge, GA 30281-6847 Ph: (404) 955-3547 | Miss Gelisa Evette Lewis, MSW 606 Cameron Landing Dr, Stockbridge, GA 30281-6847 Ph: (404) 955-3547 |
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