Russell Lewis Jr, MD in Waupaca, WI - Medicare Family Medicine

Russell Lewis Jr, MD is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. His current practice location is 190 Grand Seasons Dr, Waupaca, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 258-3650.

Russell Lewis Jr is licensed to practice in Wisconsin (license number 4937420) 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 1255367025.

Contact Information

	Russell Lewis Jr, MD
	190 Grand Seasons Dr, Waupaca, WI 54981-8219
	(715) 258-3650
	(715) 258-5749

Map and Direction

Physician's Profile

Full Name	Russell Lewis Jr
Gender	Male
Speciality	Family Medicine
Location	190 Grand Seasons Dr, Waupaca, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255367025
Provider Enumeration Date: 06/24/2006
Last Update Date: 05/27/2008

Medicare PECOS Information:

PECOS PAC ID: 9739192600
Enrollment ID: I20111031000485

Medical Identifiers

Medical identifiers for Russell Lewis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255367025	NPI	-	NPPES
34867900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4937420 (Wisconsin)	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. Russell Lewis Jr allows following entities to bill medicare on his behalf.

Entity Name	University Of Maryland Family Medicine Associates, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053424994 PECOS PAC ID: 4183662851 Enrollment ID: O20050422000217

Entity Name	University Of Maryland Faculty Physicians Immediate Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972986271 PECOS PAC ID: 7618284654 Enrollment ID: O20150923001951

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. Russell 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
Russell Lewis Jr, MD 900 Illinois Avenue, Stevens Point, WI 54481 Ph: (715) 346-5000	Russell Lewis Jr, MD 190 Grand Seasons Dr, Waupaca, WI 54981-8219 Ph: (715) 258-3650

Reviews and Comments

Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD Family Medicine Medicare: Medicare Enrolled Practice Location: N2437 E Miner Dr, Waupaca, WI 54981 Phone: 608-475-0328 Fax: 715-256-5452
Ashley Tardieu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079
Sarah C Durst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 Fax: 915-756-3079
Dorrie Marie Happ, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3062 Fax: 715-256-3079
Molly Ann Szymanski, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Amy Nicole Mandeville, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Patty Kile, Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160

Russell Lewis Jr, MD - Medicare Family Medicine in Waupaca, WI