Kathleen Lewis, - Medicare Nurse Practitioner in Shelby Township, MI

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Kathleen Lewis, is a medicare enrolled "Nurse Practitioner" in Shelby Township, Michigan. Her current practice location is 46961 Van Dyke Ave, Shelby Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 991-5205.

Kathleen Lewis is licensed to practice in Michigan (license number 4704313036) 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 1053963611.

Contact Information

Kathleen Lewis,
46961 Van Dyke Ave,
Shelby Township, MI 48317
(586) 991-5205
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Lewis
GenderFemale
SpecialityNurse Practitioner
Location46961 Van Dyke Ave, Shelby Township, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053963611
  • Provider Enumeration Date: 07/14/2019
  • Last Update Date: 07/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1355671447
  • Enrollment ID: I20191003000858

Medical Identifiers

Medical identifiers for Kathleen Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053963611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704313036 (Michigan)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. Kathleen Lewis allows following entities to bill medicare on her behalf.
Entity NameTaylor Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013321033
PECOS PAC ID: 2769706381
Enrollment ID: O20150130000264
Entity NameBest Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952791105
PECOS PAC ID: 4082930722
Enrollment ID: O20150224001082
Entity NameYpsilanti Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881048494
PECOS PAC ID: 0244519809
Enrollment ID: O20161122002321
Entity NameCanton Urgent Care Walk-in Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649712480
PECOS PAC ID: 4486934452
Enrollment ID: O20161208001492
Entity NameClinton Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831610070
PECOS PAC ID: 7719257625
Enrollment ID: O20170726002006
Entity NameShelby Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285155119
PECOS PAC ID: 6800155417
Enrollment ID: O20180104001566
Entity NameRochester Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225554694
PECOS PAC ID: 4183983380
Enrollment ID: O20180116001545
Entity NameSterling Heights Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912413949
PECOS PAC ID: 5092077586
Enrollment ID: O20180321001039
Entity NameTroy Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720571227
PECOS PAC ID: 5799039061
Enrollment ID: O20181127000377
Entity NameChesterfield Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629547195
PECOS PAC ID: 7012253537
Enrollment ID: O20190103002800
Entity NameCommerce Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952823825
PECOS PAC ID: 1153663133
Enrollment ID: O20190423000066
Entity NameDoctors Urgent Care Oakpark Southfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083239420
PECOS PAC ID: 9133543135
Enrollment ID: O20200623001665
Entity NameDoctors Urgent Care Southfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326660929
PECOS PAC ID: 6406279884
Enrollment ID: O20200701001810

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. Kathleen 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
Kathleen Lewis,
517 Hawthorn Ave,
Royal Oak, MI 48067-3619

Ph: (248) 376-0908		Kathleen Lewis,
46961 Van Dyke Ave,
Shelby Township, MI 48317

Ph: (586) 991-5205

Reviews and Comments


Nurse Practitioner Nurses in Shelby Township, MI

Russell Miller, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315
Phone: 586-731-8400    
Miss Joey Fattizzo, FNP, RN, RDH
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 45445 Mound Round, Suite 105, Shelby Township, MI 48317
Phone: 586-200-8707    Fax: 248-282-1313
Mrs. Karey Hartford, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 49310 Van Dyke Ave, Shelby Township, MI 48317
Phone: 586-731-8900    Fax: 586-726-5439
Diana Scanlon, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315
Phone: 586-247-4300    Fax: 586-532-6496
Tyler Mclaughlan, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14270 Oakwood Dr, Shelby Township, MI 48315
Phone: 586-900-9444    
Theola J Rivera, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8180 26 Mile Rd, Suite 100, Shelby Township, MI 48316
Phone: 586-336-7321    Fax: 586-336-7356

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.