Dr Laura Jean Lewis, PHD is a medicare enrolled "Psychologist" in Toledo, Ohio. Her current practice location is
3454 Oak Alley Ct Ste 200, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 460-0413.
Dr Laura Jean Lewis is licensed to practice in Ohio (license number 6498) 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 1588998595.
Provider's Profile
| Full Name | Dr Laura Jean Lewis |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 3454 Oak Alley Ct Ste 200, Toledo, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588998595
- Provider Enumeration Date: 09/23/2009
- Last Update Date: 01/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820265184
- Enrollment ID: I20120127000239
Medical Identifiers
Medical identifiers for Dr Laura Jean Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588998595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 180943 (Ohio) | Secondary |
| 101Y00000X | Counselor | E 0004386 (Ohio) | Secondary |
| 103T00000X | Psychologist | 6498 (Ohio) | 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. Dr Laura Jean Lewis allows following entities to bill medicare on her behalf.
| Entity Name | Four Directions Psychological Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467111492
PECOS PAC ID: 9931591179
Enrollment ID: O20220119002511 |
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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 Laura Jean 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 Laura Jean Lewis, PHD
3454 Oak Alley Ct Ste 200,
Toledo, OH 43606-1370
Ph: (419) 460-0413 | Dr Laura Jean Lewis, PHD
3454 Oak Alley Ct Ste 200,
Toledo, OH 43606-1370
Ph: (419) 460-0413 |
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