Dr Stasha S Lewis, MD in Riverton, UT

Dr Stasha S Lewis, MD is a medicare enrolled "Pediatrics" physician in Riverton, Utah. Her current practice location is 3723 W 12600 S Ste 150, Riverton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 285-4561.

Dr Stasha S Lewis is licensed to practice in Utah (license number 10122609-1205) 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 1164633715.

Contact Information

	Dr Stasha S Lewis, MD
	3723 W 12600 S Ste 150, Riverton, UT 84065-7296
	(801) 285-4561
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stasha S Lewis
Gender	Female
Speciality	Pediatrics
Location	3723 W 12600 S Ste 150, Riverton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164633715
Provider Enumeration Date: 05/25/2007
Last Update Date: 01/19/2017

Medicare PECOS Information:

PECOS PAC ID: 5092808691
Enrollment ID: I20161229000935

Medical Identifiers

Medical identifiers for Dr Stasha S Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164633715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M6258 (Texas)	Secondary
208000000X	Pediatrics	51747 (Minnesota)	Secondary
208000000X	Pediatrics	10122609-1205 (Utah)	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 Stasha S Lewis allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 Stasha S 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 Stasha S Lewis, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 285-4561	Dr Stasha S Lewis, MD 3723 W 12600 S Ste 150, Riverton, UT 84065-7296 Ph: (801) 285-4561

Reviews and Comments

Pediatrics Doctors in Riverton, UT

Dr. Monica Child Wonnacott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1700 Fax: 801-302-1714
Ms. Katherine Douglas Westmoreland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S, Ste 450, Riverton, UT 84065 Phone: 801-285-4543 Fax: 801-285-4540
Kristina D Esham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S, Suite 450, Riverton, UT 84065 Phone: 801-285-4543
Dr. Shellie J Ring, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 330, Riverton, UT 84065 Phone: 801-285-4543
J Timothy Duffy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S, Suite 450, Riverton, UT 84065 Phone: 801-285-4543
Dr. Craig Alan Coleby, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12391 S 4000 W, Suite 100, Riverton, UT 84096 Phone: 801-302-1700

Dr Stasha S Lewis, MD - Medicare Pediatrics in Riverton, UT