Dr John William Lewis Jr, MD is a medicare enrolled "Family Medicine" physician in Rosedale, Mississippi. His current practice location is
512 Levee Street, Rosedale, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 759-6806.
Dr John William Lewis Jr is licensed to practice in Mississippi (license number 09592) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073536132.
Physician's Profile
Full Name | Dr John William Lewis Jr |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 512 Levee Street, Rosedale, Mississippi |
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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: 1073536132
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 04/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 0749278489
- Enrollment ID: I20040503000987
Medical Identifiers
Medical identifiers for Dr John William Lewis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073536132 | NPI | - | NPPES |
00013560 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 09592 (Mississippi) | 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. Dr John William Lewis Jr allows following entities to bill medicare on his behalf.
Entity Name | Bolivar Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063659530 PECOS PAC ID: 6305995895 Enrollment ID: O20090512000274 |
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Entity Name | Family Medical Clinic Of Cleveland, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346544376 PECOS PAC ID: 9335306497 Enrollment ID: O20120201000920 |
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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. Dr John William Lewis Jr 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 John William Lewis Jr, MD 512 Levee Street, P. O. Box 310, Rosedale, MS 38769-0310 Ph: (662) 759-3728 | Dr John William Lewis Jr, MD 512 Levee Street, Rosedale, MS 38769-0310 Ph: (662) 759-6806 |
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