Jerry Lane Lewis, PA is a
Physician Assistant - Medical based in Planada, California. Jerry Lane Lewis is licensed to practice in California (license number PA11479) and his current practice location is
9235 E Broadway St, Planada, California. He can be reached at his office (for appointments etc.) via phone at
(209) 382-0253.
NPI number for Jerry Lane Lewis is 1801879341 and his current mailing address is 737 W Childs Ave, Merced, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801879341.
Provider's Profile
| Full Name | Jerry Lane Lewis |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 9235 E Broadway St, Planada, California |
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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: 1801879341
- Provider Enumeration Date: 11/29/2005
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Jerry Lane Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801879341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA11479 (California) | 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. Jerry Lane 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 |
|---|
Jerry Lane Lewis, PA
737 W Childs Ave,
Merced, CA 95340-6805
Ph: (209) 383-1848 | Jerry Lane Lewis, PA
9235 E Broadway St,
Planada, CA 95365-8088
Ph: (209) 382-0253 |
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