Alice-gray Lewis, DO in Hometown, IL - Medicare Family Medicine

Alice-gray Lewis, DO is a medicare enrolled "Family Medicine" physician in Hometown, Illinois. Her current practice location is 4140 Southwest Hwy, Hometown, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 422-5700.

Alice-gray Lewis is licensed to practice in Illinois (license number 125.072035) 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 1568953842.

Contact Information

	Alice-gray Lewis, DO
	4140 Southwest Hwy, Hometown, IL 60456-1135
	(708) 422-5700
	(708) 422-8225

Map and Direction

Physician's Profile

Full Name	Alice-gray Lewis
Gender	Female
Speciality	Family Medicine
Location	4140 Southwest Hwy, Hometown, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568953842
Provider Enumeration Date: 05/23/2018
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2961849641
Enrollment ID: I20240318003326

Medical Identifiers

Medical identifiers for Alice-gray Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568953842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125.072035 (Illinois)	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. Alice-gray Lewis allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Alice-gray 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
Alice-gray Lewis, DO 4140 Southwest Hwy, Hometown, IL 60456-1135 Ph: (708) 422-5700	Alice-gray Lewis, DO 4140 Southwest Hwy, Hometown, IL 60456-1135 Ph: (708) 422-5700

Reviews and Comments

Family Medicine Doctors in Hometown, IL

Alon Bloom, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4140 Southwest Hwy, Advocate Christ Family Medicine, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225
Dr. Jolyne Noel Kaar, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4140 Southwest Highway, Hometown, IL 60456 Phone: 708-422-5700
Carrie Salvia, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225
Dr. Faisal Lala, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700
David Michael Podrebarac, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700
Edward Kim, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225

Alice-gray Lewis, DO - Medicare Family Medicine in Hometown, IL