Ms Deborah Marie Lewis, NP is a medicare enrolled "Nurse Practitioner" in Big Sandy, Texas. Her current practice location is
106 E Gilmer St, Big Sandy, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 636-5366.
Ms Deborah Marie Lewis is licensed to practice in New Mexico (license number CNP-03595) 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 1053399352.
Provider's Profile
| Full Name | Ms Deborah Marie Lewis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 106 E Gilmer St, Big Sandy, Texas |
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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: 1053399352
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 09/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 2860456290
- Enrollment ID: I20041116000599
Medical Identifiers
Medical identifiers for Ms Deborah Marie Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053399352 | NPI | - | NPPES |
| 168784001 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP2731 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 454234 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | CNP-03595 (New Mexico) | 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. Ms Deborah Marie Lewis allows following entities to bill medicare on her behalf.
| Entity Name | Texas Heart Hospital Of The Southwest Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104164755
PECOS PAC ID: 0840298303
Enrollment ID: O20130517000141 |
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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. Ms Deborah Marie 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 |
|---|
Ms Deborah Marie Lewis, NP
Po Box 26666, Phs Provider Enrollment,
Albuquerque, NM 87125-6666
Ph: (505) 923-6770 | Ms Deborah Marie Lewis, NP
106 E Gilmer St,
Big Sandy, TX 75755-2129
Ph: (903) 636-5366 |
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