Ms Michele Adriane Lewis, is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Epiphany Family Services Llc and her current practice location is
1603 Wilburn Park Ln Nw, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 766-2681.
Ms Michele Adriane Lewis is licensed to practice in North Carolina (license number C011162) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700280567.
Healthcare Provider's Profile
| Full Name | Ms Michele Adriane Lewis |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 1603 Wilburn Park Ln Nw, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Michele Adriane Lewis graduated from medical school in 2013
NPI Data:
- NPI Number: 1700280567
- Provider Enumeration Date: 10/22/2014
- Last Update Date: 06/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789947805
- Enrollment ID: I20180424000486
Medical Identifiers
Medical identifiers for Ms Michele Adriane Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700280567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-15442 (North Carolina) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C011162 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Epiphany Family Services Llc | 5799920245 | 3 |
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. Ms Michele Adriane Lewis allows following entities to bill medicare on her behalf.
| Entity Name | Epiphany Family Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255640645
PECOS PAC ID: 5799920245
Enrollment ID: O20130404000083 |
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| Entity Name | Center For Family & Maternal Wellness |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952760688
PECOS PAC ID: 6507152832
Enrollment ID: O20160912002625 |
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| Entity Name | Rha Behavioral Health Nc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700318680
PECOS PAC ID: 4688948656
Enrollment ID: O20170914003770 |
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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. Ms Michele Adriane 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 |
|---|
Ms Michele Adriane Lewis,
1603 Wilburn Park Ln Nw,
Charlotte, NC 28269-6988
Ph: (704) 766-2681 | Ms Michele Adriane Lewis,
1603 Wilburn Park Ln Nw,
Charlotte, NC 28269-6988
Ph: (704) 766-2681 |
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