Wallace E Lewis, MD is a
Family Medicine physician based in Reedville, Virginia. Wallace E Lewis is licensed to practice in Virginia (license number 0101028388) and his current practice location is 18682 Northumberland Hwy, Reedville, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 453-4537.
NPI number for Wallace E Lewis is 1114981966 and his current mailing address is Po Box 1328, Kilmarnock, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114981966.
Physician's Profile
| Full Name | Wallace E Lewis |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 18682 Northumberland Hwy, Reedville, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114981966
- Provider Enumeration Date: 04/17/2006
- Last Update Date: 01/08/2013
Medical Identifiers
Medical identifiers for Wallace E Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114981966 | NPI | - | NPPES |
| 080133503 | Other | VA | RAILROAD |
| 1114981966 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0101028388 (Virginia) | 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. Wallace E Lewis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wallace E Lewis, MD
Po Box 1328,
Kilmarnock, VA 22482-1328
Ph: (804) 435-8570 | Wallace E Lewis, MD
18682 Northumberland Hwy,
Reedville, VA 22539-3411
Ph: (804) 453-4537 |
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