Fulton D Lewis Iii, DMD in Conyers, GA - Medicare Oral Surgery Provider

Fulton D Lewis Iii, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Conyers, Georgia. He went to Medical Univ Of South Carolina Col Of Dental Med and graduated in 1992 and has 32 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Oral Surgery Associates And Dental Implant Center Pc and his current practice location is 1463 Klondike Road, Suite C, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 483-9692.

Fulton D Lewis Iii is licensed to practice in Georgia (license number DN012694) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558479253.

Contact Information

	Fulton D Lewis Iii, DMD
	1463 Klondike Road, Suite C, Conyers, GA 30094
	(770) 483-9692
	(678) 487-1004

Map and Direction

Healthcare Provider's Profile

Full Name	Fulton D Lewis Iii
Gender	Male
Speciality	Oral Surgery
Experience	32 Years
Location	1463 Klondike Road, Conyers, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fulton D Lewis Iii attended and graduated from Medical Univ Of South Carolina Col Of Dental Med in 1992

NPI Data:

NPI Number: 1558479253
Provider Enumeration Date: 08/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8426195595
Enrollment ID: I20110203000451

Medical Identifiers

Medical identifiers for Fulton D Lewis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558479253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN012694 (Georgia)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	3173 (South Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oral Surgery Associates And Dental Implant Center Pc	9537154968	8

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. Fulton D Lewis Iii allows following entities to bill medicare on his behalf.

Entity Name	Oral Surgery Associates & Dental Implant Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003924788 PECOS PAC ID: 9537154968 Enrollment ID: O20040416000067

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. Fulton D Lewis Iii 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
Fulton D Lewis Iii, DMD 1463 Klondike Road, Suite C, Conyers, GA 30094 Ph: (770) 483-9692	Fulton D Lewis Iii, DMD 1463 Klondike Road, Suite C, Conyers, GA 30094 Ph: (770) 483-9692

Reviews and Comments

Dentist in Conyers, GA

Henry Hung Hoang Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2005 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-8555
Dr. Robert H Creager, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1463 Klondike Rd Sw, Suite A, Conyers, GA 30094 Phone: 770-922-8733
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Dr. Jelani Tenoa Washington Sr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 976 East Freeway Drive, Suite A, Conyers, GA 30094 Phone: 615-491-2127
Dr. Heavenly Kimes, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3240 Glencree Road, Conyers, GA 30012 Phone: 404-713-4982 Fax: 678-413-2491
Dr. Alexis Delon Irby, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1450 Highway 138 Se, Conyers, GA 30013 Phone: 770-285-2270

Fulton D Lewis Iii, DMD - Medicare Dentist in Conyers, GA