Jack Byron Lewis, MD is a medicare enrolled "Urology" physician in Mansfield, Texas. He went to Oregon Health Sciences University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice Medical Clinic Of North Texas, Pllc and his current practice location is
252 Matlock Rd Ste 244, Mansfield, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 784-8268.
Jack Byron Lewis is licensed to practice in Oregon (license number MD28015) 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 1396706487.
Physician's Profile
| Full Name | Jack Byron Lewis |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 30 Years |
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| Location | 252 Matlock Rd Ste 244, Mansfield, Texas |
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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:
- Jack Byron Lewis attended and graduated from Oregon Health Sciences University School Of Medicine in 1994
NPI Data:
- NPI Number: 1396706487
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688753965
- Enrollment ID: I20200601000609
Medical Identifiers
Medical identifiers for Jack Byron Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396706487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 43653-020 (Wisconsin) | Secondary |
| 208800000X | Urology | MD28015 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medical Clinic Of North Texas, Pllc | 9830084540 | 175 |
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. Jack Byron Lewis allows following entities to bill medicare on his behalf.
| Entity Name | Medical Clinic Of North Texas, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033167234
PECOS PAC ID: 9830084540
Enrollment ID: O20040430001258 |
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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. Jack Byron 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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Jack Byron Lewis, MD
252 Matlock Rd Ste 244,
Mansfield, TX 76063-4294
Ph: (817) 784-8268 | Jack Byron Lewis, MD
252 Matlock Rd Ste 244,
Mansfield, TX 76063-4294
Ph: (817) 784-8268 |
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