Demetrius Vinde Lewis, is a
Nursing Home Administrator based in Columbus, Georgia. Demetrius Vinde Lewis is licensed to practice in Georgia (license number NIIA005224) and his current practice location is
1314 Pagoda Dr, Columbus, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 593-8727.
NPI number for Demetrius Vinde Lewis is 1295093086 and his current mailing address is 1314 Pagoda Dr, Columbus, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295093086.
Provider's Profile
Full Name | Demetrius Vinde Lewis |
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Gender | Male |
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Speciality | Nursing Home Administrator |
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Location | 1314 Pagoda Dr, Columbus, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295093086
- Provider Enumeration Date: 04/30/2012
- Last Update Date: 04/30/2012
Medical Identifiers
Medical identifiers for Demetrius Vinde Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295093086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LPN052272 (Georgia) | Secondary |
376G00000X | Nursing Home Administrator | NIIA005224 (Georgia) | 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. Demetrius Vinde 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 |
Demetrius Vinde Lewis, 1314 Pagoda Dr, Columbus, GA 31907-4439 Ph: (706) 593-8727 | Demetrius Vinde Lewis, 1314 Pagoda Dr, Columbus, GA 31907-4439 Ph: (706) 593-8727 |
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