Andrea Morgan Formyduval Lewis, FNP - Medicare Nurse Practitioner in Wilmington, NC

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Andrea Morgan Formyduval Lewis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wilmington, North Carolina. Her current practice location is 4005 Oleander Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 790-9949.

Andrea Morgan Formyduval Lewis is licensed to practice in North Carolina (license number 5004417) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154550077.

Contact Information

Andrea Morgan Formyduval Lewis, FNP
4005 Oleander Dr,
Wilmington, NC 28403-6816
(910) 790-9949
(910) 790-9455

Map and Direction




Provider's Profile

Full NameAndrea Morgan Formyduval Lewis
GenderFemale
SpecialityNurse Practitioner - Family
Location4005 Oleander Dr, Wilmington, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154550077
  • Provider Enumeration Date: 07/13/2009
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880057363
  • Enrollment ID: I20230831000540

Medical Identifiers

Medical identifiers for Andrea Morgan Formyduval Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154550077NPI-NPPES
7005679MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5004417 (North Carolina)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. Andrea Morgan Formyduval Lewis allows following entities to bill medicare on her behalf.
Entity NameCoastal Horizons Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922022607
PECOS PAC ID: 9739267964
Enrollment ID: O20080429000046

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. Andrea Morgan Formyduval 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 AddressPractice Location Address
Andrea Morgan Formyduval Lewis, FNP
615 Shipyard Blvd,
Wilmington, NC 28412-6431

Ph: (910) 343-0145		Andrea Morgan Formyduval Lewis, FNP
4005 Oleander Dr,
Wilmington, NC 28403-6816

Ph: (910) 790-9949

Reviews and Comments


Nurse Practitioner Nurses in Wilmington, NC

Travis Aaron Finkle, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2909 Market St, Wilmington, NC 28403
Phone: 910-687-4888    
Carolyn Jones,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2131 S 17th St, Wilmington, NC 28401
Phone: 910-667-2970    
Valerie Lynn Wegener, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8108b Market St, Wilmington, NC 28411
Phone: 910-341-3300    Fax: 910-251-2067
Nannette B Martin, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2131 S 17th St, Wilmington, NC 28401
Phone: 910-772-9202    Fax: 910-772-9452
Elizabeth Granger, NNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2131 S 17th St, Wilmington, NC 28401
Phone: 910-667-2970    
Kelly B Miller,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2334 41st St, Wilmington, NC 28403
Phone: 910-641-4095    
Todd Alan Stugart, MSN, APRN, BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2311 Delaney Ave, Wilmington, NC 28403
Phone: 910-762-8754    Fax: 910-762-0778

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.