Ms Kathy Tialdimpar Lewis, NURSE PRACTITIONER in Frederick, MD

Ms Kathy Tialdimpar Lewis, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Frederick, Maryland. Her current practice location is 140 Thomas Johnson Dr Ste 202, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 694-7788.

Ms Kathy Tialdimpar Lewis is licensed to practice in Maryland (license number R218145) 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 1285348987.

Contact Information

	Ms Kathy Tialdimpar Lewis, NURSE PRACTITIONER
	140 Thomas Johnson Dr Ste 202, Frederick, MD 21702-4485
	(301) 694-7788
	(306) 694-3184

Map and Direction

Provider's Profile

Full Name	Ms Kathy Tialdimpar Lewis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	140 Thomas Johnson Dr Ste 202, Frederick, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285348987
Provider Enumeration Date: 01/09/2023
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7517328701
Enrollment ID: I20230803004369

Medical Identifiers

Medical identifiers for Ms Kathy Tialdimpar Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285348987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R218145 (Maryland)	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 Kathy Tialdimpar Lewis allows following entities to bill medicare on her behalf.

Entity Name	Otto Roza Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548256811 PECOS PAC ID: 4880596675 Enrollment ID: O20040122000740

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 Kathy Tialdimpar 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 Kathy Tialdimpar Lewis, NURSE PRACTITIONER 140 Thomas Johnson Dr, Frederick, MD 21702-4475 Ph: (301) 694-7788	Ms Kathy Tialdimpar Lewis, NURSE PRACTITIONER 140 Thomas Johnson Dr Ste 202, Frederick, MD 21702-4485 Ph: (301) 694-7788

Reviews and Comments

Nurse Practitioner Nurses in Frederick, MD

Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Issa Tew Lo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Kari Pratt, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928
Linda A Cann, MSN,APRN,FNP,PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 S Jefferson St, Frederick, MD 21701 Phone: 301-663-6135 Fax: 301-663-5738
Regine Josie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1026 Bexhill Dr, Frederick, MD 21702 Phone: 321-482-4933

Ms Kathy Tialdimpar Lewis, NURSE PRACTITIONER - Medicare Nurse Practitioner in Frederick, MD