Dennis M Lewis, MD is a medicare enrolled "Surgery" physician in Live Oak, Florida. He went to University Of Florida College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Ivinson Memorial Hospital, Riverton Physician Practices, Llc and his current practice location is
1116 11th St Sw, Live Oak, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 362-0820.
Dennis M Lewis is licensed to practice in Florida (license number ME56099) 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 1699701524.
Physician's Profile
| Full Name | Dennis M Lewis |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 41 Years |
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| Location | 1116 11th St Sw, Live Oak, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dennis M Lewis attended and graduated from University Of Florida College Of Medicine in 1983
NPI Data:
- NPI Number: 1699701524
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769442813
- Enrollment ID: I20041013001165
Medical Identifiers
Medical identifiers for Dennis M Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699701524 | NPI | - | NPPES |
| 01731293 | Medicaid | FL | |
| JK189Z | Other | FL | UPIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 5754A (Wyoming) | Secondary |
| 208600000X | Surgery | ME56099 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ivinson Memorial Hospital | 8325304447 | 49 |
| Riverton Physician Practices, Llc | 8426954496 | 14 |
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. Dennis M Lewis allows following entities to bill medicare on his behalf.
| Entity Name | Riverton Physician Practices, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205875614
PECOS PAC ID: 8426954496
Enrollment ID: O20040505000232 |
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| Entity Name | Ivinson Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033628599
PECOS PAC ID: 8325304447
Enrollment ID: O20171213002021 |
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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. Dennis M 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 |
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Dennis M Lewis, MD
1116 11th St Sw,
Live Oak, FL 32064-3608
Ph: (386) 362-0820 | Dennis M Lewis, MD
1116 11th St Sw,
Live Oak, FL 32064
Ph: (386) 362-0820 |
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