Dr Giavonni Mystique Lewis, MD in Salt Lake City, UT - Medicare Critical Care (intensivists)

Dr Giavonni Mystique Lewis, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Salt Lake City, Utah. She went to Tufts University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice University Of Utah Adult Services and her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-8990.

Dr Giavonni Mystique Lewis is licensed to practice in Utah (license number 8365805-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528222775.

Contact Information

	Dr Giavonni Mystique Lewis, MD
	50 N Medical Dr, Salt Lake City, UT 84132-0100
	(801) 581-8990
	(801) 585-6005

Map and Direction

Physician's Profile

Full Name	Dr Giavonni Mystique Lewis
Gender	Female
Speciality	Critical Care (intensivists)
Experience	19 Years
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Giavonni Mystique Lewis attended and graduated from Tufts University School Of Medicine in 2005

NPI Data:

NPI Number: 1528222775
Provider Enumeration Date: 07/16/2008
Last Update Date: 11/18/2021

Medicare PECOS Information:

PECOS PAC ID: 6901920859
Enrollment ID: I20120910000778

Medical Identifiers

Medical identifiers for Dr Giavonni Mystique Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528222775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	8365805-1205 (Utah)	Secondary
2086S0102X	Surgery - Surgical Critical Care	8365805-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1435

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. Dr Giavonni Mystique Lewis allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Acuity Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Giavonni Mystique 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
Dr Giavonni Mystique Lewis, MD Po Box 413035, Salt Lake City, UT 84141-3035 Ph: (801) 213-3900	Dr Giavonni Mystique Lewis, MD 50 N Medical Dr, Salt Lake City, UT 84132-0100 Ph: (801) 581-8990

Reviews and Comments

Surgery Doctors in Salt Lake City, UT

Dr. Gregory Lawrence Livers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 129 F St, Salt Lake City, UT 84103 Phone: 801-364-3091
Dr. Melanie Ann Dance, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, Salt Lake City, UT 84124 Phone: 801-265-2000
Alexander Schurman, Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121
Kaohinani Joseph Longwolf, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132 Phone: 801-213-2598
Marisol Z. Monzon, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121
Dr. Charles David Richards, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1391 E Farm Hill Dr, Salt Lake City, UT 84117 Phone: 801-272-6859
Dr. Teresa Reading, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave, #100, Salt Lake City, UT 84103 Phone: 801-408-7660 Fax: 801-408-7650

Dr Giavonni Mystique Lewis, MD - Medicare Critical Care (intensivists) in Salt Lake City, UT