Kimberly Lewis, OD is a medicare enrolled "Optometrist" provider in Lafayette, Texas. Her current practice location is
5725 Johnston St, Box 2307, Lafayette, Texas. You can reach out to her office (for appointments etc.) via phone at
(337) 989-2020.
Kimberly Lewis is licensed to practice in Louisiana (license number 1409-547T) 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 1790847218.
Healthcare Provider's Profile
| Full Name | Kimberly Lewis |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 5725 Johnston St, Lafayette, 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: 1790847218
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254354392
- Enrollment ID: I20060104000607
Medical Identifiers
Medical identifiers for Kimberly Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790847218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1409-547T (Louisiana) | 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. Kimberly Lewis allows following entities to bill medicare on her behalf.
| Provider Name | Jason Wonch, O.d. And Associates, A.p.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295769008
PECOS PAC ID: 8426040940
Enrollment ID: O20040402000193 |
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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. Kimberly 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 |
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Kimberly Lewis, OD
11103 West Ave, Suite 6,
San Antonio, TX 78213-1370
Ph: (210) 524-6803 | Kimberly Lewis, OD
5725 Johnston St, Box 2307,
Lafayette, TX 78213
Ph: (337) 989-2020 |
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