Mr Peter Wallace Lewis, PA-C is a
Physician Assistant - Surgical based in Sesser, Illinois. Mr Peter Wallace Lewis is licensed to practice in Texas (license number PA01533) and his current practice location is
6294 State Highway 154, Sesser, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 625-6979.
NPI number for Mr Peter Wallace Lewis is 1205932944 and his current mailing address is Po Box 155, Christopher, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205932944.
Provider's Profile
Full Name | Mr Peter Wallace Lewis |
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Gender | Male |
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Speciality | Physician Assistant - Surgical |
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Location | 6294 State Highway 154, Sesser, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205932944
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 01/18/2012
Medical Identifiers
Medical identifiers for Mr Peter Wallace Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205932944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | PA01533 (Texas) | 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. Mr Peter Wallace 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 |
Mr Peter Wallace Lewis, PA-C Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Mr Peter Wallace Lewis, PA-C 6294 State Highway 154, Sesser, IL 62884-2163 Ph: (618) 625-6979 |
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