Dr Jonathan Elliott Lewis, DDS is a
Dentist based in Breezy Point, New York. Dr Jonathan Elliott Lewis is licensed to practice in New York (license number 063288) and his current practice location is
20408 Rockaway Point Blvd, Breezy Point, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 474-6500.
NPI number for Dr Jonathan Elliott Lewis is 1023687472 and his current mailing address is 20408 Rockaway Point Blvd, Breezy Point, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023687472.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Elliott Lewis |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 20408 Rockaway Point Blvd, Breezy Point, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023687472
- Provider Enumeration Date: 06/21/2021
- Last Update Date: 09/30/2024
Medical Identifiers
Medical identifiers for Dr Jonathan Elliott Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023687472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DS043203 (Pennsylvania) | Secondary |
| 122300000X | Dentist | 063288 (New York) | 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. Dr Jonathan Elliott 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 |
|---|
Dr Jonathan Elliott Lewis, DDS
20408 Rockaway Point Blvd,
Breezy Point, NY 11697-1115
Ph: () - | Dr Jonathan Elliott Lewis, DDS
20408 Rockaway Point Blvd,
Breezy Point, NY 11697-1115
Ph: (718) 474-6500 |
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