Mr Jeremy David Lewis, MSED, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Auburn, Indiana. His current practice location is
1752 Wesley Rd, Auburn, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 925-3865.
Mr Jeremy David Lewis is licensed to practice in Indiana (license number 35001668A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447492673.
Healthcare Provider's Profile
Full Name | Mr Jeremy David Lewis |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 1752 Wesley Rd, Auburn, Indiana |
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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: 1447492673
- Provider Enumeration Date: 04/02/2009
- Last Update Date: 03/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486004702
- Enrollment ID: I20231229000230
Medical Identifiers
Medical identifiers for Mr Jeremy David Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447492673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 35001668A (Indiana) | 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. Mr Jeremy David Lewis allows following entities to bill medicare on his behalf.
Entity Name | Northeastern Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720140908 PECOS PAC ID: 6709795636 Enrollment ID: O20040605000289 |
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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. Mr Jeremy David 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 |
Mr Jeremy David Lewis, MSED, LMFT Po Box 562, Auburn, IN 46706-0562 Ph: (260) 925-3865 | Mr Jeremy David Lewis, MSED, LMFT 1752 Wesley Rd, Auburn, IN 46706-3646 Ph: (260) 925-3865 |
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