Dr Ethan Taylor Lewis, DNP in Little Rock, AR - Medicare Nurse Anesthetist, Certified Registered

Dr Ethan Taylor Lewis, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Little Rock, Arkansas. His current practice location is 12921 Cantrell Rd, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 615-8296.

Dr Ethan Taylor Lewis is licensed to practice in Texas (license number 1138854) 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 1013690288.

Contact Information

	Dr Ethan Taylor Lewis, DNP
	12921 Cantrell Rd, Little Rock, AR 72223-1713
	(501) 615-8296
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Ethan Taylor Lewis
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	12921 Cantrell Rd, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013690288
Provider Enumeration Date: 08/14/2023
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1355797150
Enrollment ID: I20231031002181

Medical Identifiers

Medical identifiers for Dr Ethan Taylor Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013690288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1138854 (Texas)	Primary
163W00000X	Registered Nurse	R108058 (Arkansas)	Secondary

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. Dr Ethan Taylor Lewis allows following entities to bill medicare on his behalf.

Entity Name	Hendrick Anesthesia Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851394993 PECOS PAC ID: 3274521281 Enrollment ID: O20040505001856

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. Dr Ethan Taylor 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 Address	Practice Location Address
Dr Ethan Taylor Lewis, DNP 12921 Cantrell Rd, Little Rock, AR 72223-1713 Ph: (501) 615-8296	Dr Ethan Taylor Lewis, DNP 12921 Cantrell Rd, Little Rock, AR 72223-1713 Ph: (501) 615-8296

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Little Rock, AR

Benjamin Mizell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316
Kasia Pabian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2018 N Garfield St, Little Rock, AR 72207 Phone: 501-614-9998 Fax: 501-325-1491
John W Woodell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 N Rodney Parham Rd, No 203, Little Rock, AR 72212 Phone: 615-620-2320 Fax: 615-620-2323
Barbara C Lenarduzzi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11401 Interstate 30, Little Rock, AR 72209 Phone: 501-455-7100
Brent Anthony Lea, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205 Phone: 501-686-6114 Fax: 501-686-8139
Anthony L Bridges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316

Dr Ethan Taylor Lewis, DNP - Medicare Nurse Anesthetist, Certified Registered in Little Rock, AR