Dr Bryce Alexandra Lewellen, OD is a medicare enrolled "Optometrist" provider in Two Rivers, Wisconsin. She went to University Of Houston - College Of Optometry and graduated in 2016 and has 8 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is
5300 Memorial Dr, Two Rivers, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 793-7515.
Dr Bryce Alexandra Lewellen is licensed to practice in Wisconsin (license number 3647) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093167074.
Healthcare Provider's Profile
| Full Name | Dr Bryce Alexandra Lewellen |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 8 Years |
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| Location | 5300 Memorial Dr, Two Rivers, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bryce Alexandra Lewellen attended and graduated from University Of Houston - College Of Optometry in 2016
NPI Data:
- NPI Number: 1093167074
- Provider Enumeration Date: 07/01/2016
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567744790
- Enrollment ID: I20201008003228
Medical Identifiers
Medical identifiers for Dr Bryce Alexandra Lewellen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093167074 | NPI | - | NPPES |
| 100106622 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3647 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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. Dr Bryce Alexandra Lewellen allows following entities to bill medicare on her behalf.
| Provider Name | Aurora Medical Group, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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. Dr Bryce Alexandra Lewellen 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 |
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Dr Bryce Alexandra Lewellen, OD
Po Box 735044,
Chicago, IL 60673-5044
Ph: () - | Dr Bryce Alexandra Lewellen, OD
5300 Memorial Dr,
Two Rivers, WI 54241-3923
Ph: (920) 793-7515 |
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