Michelle D Lewis, MD | |
3935 N. Lightning Drive, Appleton, WI 54913-7890 | |
(920) 968-1790 | |
(920) 968-1794 |
Full Name | Michelle D Lewis |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 23 Years |
Location | 3935 N. Lightning Drive, Appleton, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801802046 | NPI | - | NPPES |
53730-020 | Other | WI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 53110-020 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083768253 PECOS PAC ID: 3779471701 Enrollment ID: O20040310000252 |
Mailing Address | Practice Location Address |
---|---|
Michelle D Lewis, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Michelle D Lewis, MD 3935 N. Lightning Drive, Appleton, WI 54913-7890 Ph: (920) 968-1790 |
Brent Robert Weed, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3935 N. Lightning Drive, Appleton, WI 54913 Phone: 920-968-1790 Fax: 920-686-9674 | |
Dr. Charles Norman Kagen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 W Lawrence St, Suite 409, Appleton, WI 54911 Phone: 920-733-5138 Fax: 920-733-3759 | |
Dr. Peter J Katz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3935 N Lightning Dr, Appleton, WI 54913 Phone: 920-968-1790 Fax: 920-968-1794 | |
Dr. Keith Dineen Wagner, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3935 N Lightning Dr, Appleton, WI 54913 Phone: 920-968-1790 Fax: 920-968-1794 | |
Dr. John William Faber, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 412 E Longview Dr., Appleton, WI 54911 Phone: 920-734-6880 Fax: 920-734-8867 | |
Noah Robert Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3935 N Lightning Dr, Appleton, WI 54913 Phone: 920-968-1790 Fax: 920-968-1794 |