Miss Keisha Michelle Lewis, OTR/L, CDE in Waldorf, MD - Medicare Occupational Therapist Provider

Miss Keisha Michelle Lewis, OTR/L, CDE is a medicare enrolled "Occupational Therapist" provider in Waldorf, Maryland. Her current practice location is 3328 Fordington Pl, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (803) 840-3312.

Miss Keisha Michelle Lewis is licensed to practice in Virginia (license number 0119003478) 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 1154722114.

Contact Information

	Miss Keisha Michelle Lewis, OTR/L, CDE
	3328 Fordington Pl, Waldorf, MD 20603-4446
	(803) 840-3312
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Keisha Michelle Lewis
Gender	Female
Speciality	Occupational Therapist
Location	3328 Fordington Pl, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154722114
Provider Enumeration Date: 09/09/2014
Last Update Date: 09/09/2014

Medicare PECOS Information:

PECOS PAC ID: 2264889039
Enrollment ID: I20231116000654

Medical Identifiers

Medical identifiers for Miss Keisha Michelle Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154722114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0119003478 (Virginia)	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. Miss Keisha Michelle Lewis allows following entities to bill medicare on her behalf.

Provider Name	Welldom Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518746189 PECOS PAC ID: 7719334580 Enrollment ID: O20231116000169

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. Miss Keisha Michelle 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
Miss Keisha Michelle Lewis, OTR/L, CDE 3328 Fordington Pl, Waldorf, MD 20603-4446 Ph: (803) 840-3312	Miss Keisha Michelle Lewis, OTR/L, CDE 3328 Fordington Pl, Waldorf, MD 20603-4446 Ph: (803) 840-3312

Reviews and Comments

Occupational Therapist in Waldorf, MD

Elizabeth Strona, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11665 Doolittle Dr, Waldorf, MD 20602 Phone: 877-407-3422 Fax: 877-407-4329
Joshua Patrick Daye, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12090 Old Line Ctr, Waldorf, MD 20602 Phone: 910-574-3537
Mrs. Lynette Gassop, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10433 Silvervine Ct, Waldorf, MD 20603 Phone: 301-638-9704
Mrs. Simone Amanda Okoro, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4140 Old Washington Rd, Waldorf, MD 20602 Phone: 301-645-2813 Fax: 301-645-9317
Shayla Kirondi Moore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10713 Sourwood Ave, Waldorf, MD 20603 Phone: 240-475-2658
Mrs. Maureen Tschiegg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6580 Prairie Dog Ct, Waldorf, MD 20603 Phone: 240-606-4834
Taylor Yenko, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 Hatteras Cir, Waldorf, MD 20601 Phone: 412-804-1077

Miss Keisha Michelle Lewis, OTR/L, CDE - Medicare Occupational Therapist in Waldorf, MD