Khadijah A Lewis, PT in Kenosha, WI - Medicare Physical Therapist Provider

Khadijah A Lewis, PT is a medicare enrolled "Physical Therapist" provider in Kenosha, Wisconsin. Her current practice location is 3506 Washington Rd, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 653-3814.

Khadijah A Lewis is licensed to practice in Wisconsin (license number 11149-24) 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 1346518982.

Contact Information

	Khadijah A Lewis, PT
	3506 Washington Rd, Kenosha, WI 53144-1654
	(262) 653-3814
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Khadijah A Lewis
Gender	Female
Speciality	Physical Therapist
Location	3506 Washington Rd, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346518982
Provider Enumeration Date: 12/10/2011
Last Update Date: 03/26/2019

Medicare PECOS Information:

PECOS PAC ID: 7012336506
Enrollment ID: I20201002000219

Medical Identifiers

Medical identifiers for Khadijah A Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346518982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11149-24 (Wisconsin)	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. Khadijah A Lewis allows following entities to bill medicare on her behalf.

Provider Name	Comprehensive Therapeutics Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663

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. Khadijah A 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
Khadijah A Lewis, PT 4415 W Lawn Ave, Waukegan, IL 60085-8664 Ph: (773) 807-0487	Khadijah A Lewis, PT 3506 Washington Rd, Kenosha, WI 53144-1654 Ph: (262) 653-3814

Reviews and Comments

Physical Therapist in Kenosha, WI

Lindsay B.n. Laubmeier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave, Suite 103, Kenosha, WI 53144 Phone: 262-657-7071 Fax: 262-657-0632
Mrs. Sherry M Clifton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500
Jeffrey S Serchen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 22nd Ave, Kenosha, WI 53143 Phone: 262-656-7800
Morgan P Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave Ste 103, Kenosha, WI 53144 Phone: 262-657-7071
Kenosha Achievement Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500 Fax: 262-658-9621
Tyler Raymaker, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3701 80th St, Kenosha, WI 53142 Phone: 262-697-1730
Erika M Kurzac, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3535 30th Ave Ste 101, Kenosha, WI 53144 Phone: 262-657-7071

Khadijah A Lewis, PT - Medicare Physical Therapist in Kenosha, WI