Lajarvis Antwon Lewis, FNP in Ruleville, MS - Medicare Nurse Practitioner

Lajarvis Antwon Lewis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ruleville, Mississippi. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fast Pace Mississippi Pllc, North Sunflower Medical Center and his current practice location is 840 N Oak Ave, Ruleville, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 756-4024.

Lajarvis Antwon Lewis is licensed to practice in Mississippi (license number 903985) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487271201.

Contact Information

	Lajarvis Antwon Lewis, FNP
	840 N Oak Ave, Ruleville, MS 38771-3227
	(662) 756-4024
	Not Available

Map and Direction

Provider's Profile

Full Name	Lajarvis Antwon Lewis
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	840 N Oak Ave, Ruleville, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lajarvis Antwon Lewis graduated from nursing school in 2020

NPI Data:

NPI Number: 1487271201
Provider Enumeration Date: 06/26/2020
Last Update Date: 06/26/2020

Medicare PECOS Information:

PECOS PAC ID: 6002230752
Enrollment ID: I20200728001419

Medical Identifiers

Medical identifiers for Lajarvis Antwon Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487271201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903985 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Sunflower Medical Center Cah	Ruleville, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Mississippi Pllc	3678832029	142
North Sunflower Medical Center	7618932294	23

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. Lajarvis Antwon Lewis allows following entities to bill medicare on his behalf.

Entity Name	North Sunflower Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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. Lajarvis Antwon 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
Lajarvis Antwon Lewis, FNP Po Box 4187, Cleveland, MS 38732-5287 Ph: (662) 719-9414	Lajarvis Antwon Lewis, FNP 840 N Oak Ave, Ruleville, MS 38771-3227 Ph: (662) 756-4024

Reviews and Comments

Nurse Practitioner Nurses in Ruleville, MS

Michaela Stone, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-1788 Fax: 662-756-1694
Kristen Cassidy Scott, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024
Mrs. Judy Ann Pearce, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 Fax: 662-756-4023
Kathryn Meredith James, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024
Michael T Beckum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-2711 Fax: 662-756-4114
Katherine Ethridge Summers, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024
Natalie Roberts Dozier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024

Lajarvis Antwon Lewis, FNP - Medicare Nurse Practitioner in Ruleville, MS