Beverly Lewis, MD is a medicare enrolled "Dermatology" physician in Corona, California. Her current practice location is
900 S Main St Ste 105, Corona, California. You can reach out to her office (for appointments etc.) via phone at
(951) 363-0243.
Beverly Lewis is licensed to practice in California (license number G42697) 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 1760456529.
Physician's Profile
Full Name | Beverly Lewis |
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Gender | Female |
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Speciality | Dermatology |
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Location | 900 S Main St Ste 105, Corona, California |
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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: 1760456529
- Provider Enumeration Date: 02/16/2006
- Last Update Date: 02/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911084728
- Enrollment ID: I20080403000285
Medical Identifiers
Medical identifiers for Beverly Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760456529 | NPI | - | NPPES |
GR0040370 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | G42697 (California) | Secondary |
207N00000X | Dermatology | G42697 (California) | 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. Beverly Lewis allows following entities to bill medicare on her behalf.
Entity Name | Porterville Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982354577 PECOS PAC ID: 9335520154 Enrollment ID: O20220725002310 |
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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. Beverly 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 |
Beverly Lewis, MD 29306 Catalpa, Lake Elsinore, CA 92530-9100 Ph: (310) 806-1002 | Beverly Lewis, MD 900 S Main St Ste 105, Corona, CA 92882-3401 Ph: (951) 363-0243 |
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