Kenneth Bryant Lewis, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fayetteville, North Carolina. His current practice location is
1638 Owen Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 615-5095.
Kenneth Bryant Lewis is licensed to practice in North Carolina (license number 2018-02509) 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 1952751315.
Physician's Profile
Full Name | Kenneth Bryant Lewis |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1638 Owen Dr, Fayetteville, North Carolina |
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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: 1952751315
- Provider Enumeration Date: 06/16/2016
- Last Update Date: 04/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830480979
- Enrollment ID: I20160621002590
Medical Identifiers
Medical identifiers for Kenneth Bryant Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952751315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 5101022678 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 2018-02509 (North Carolina) | Primary |
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. Kenneth Bryant 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 |
Kenneth Bryant Lewis, DO 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-5095 | Kenneth Bryant Lewis, DO 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-5095 |
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