Angela D Lewis Do Psc is a medicare enrolled primary clinic (Family Medicine) in Russell, Kentucky. The current practice location for Angela D Lewis Do Psc is 1021 Kenwood Dr, Russell, Kentucky. For appointments, you can reach them via phone at
(606) 836-1954. The mailing address for Angela D Lewis Do Psc is 1021 Kenwood Dr, Russell, Kentucky and phone number is (606) 836-1954.
Angela D Lewis Do Psc is licensed to practice in Kentucky (license number 02545). The clinic also participates in the medicare program and its
NPI number is 1821398173. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(606) 836-1954.
Primary Care Clinic Profile
| Full Name | Angela D Lewis Do Psc |
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| Speciality | Family Medicine |
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| Location | 1021 Kenwood Dr, Russell, Kentucky |
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| Authorized Official Name and Position | Angela D Lewis (OWNER) |
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| Authorized Official Contact | 6068361954 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Angela D Lewis Do Psc
1021 Kenwood Dr
Russell
KY 41169-1527
Ph: (606) 836-1954 | Angela D Lewis Do Psc
1021 Kenwood Dr
Russell
KY 41169-1527
Ph: (606) 836-1954 |
NPI Details:
| NPI Number | 1821398173 |
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| Provider Enumeration Date | 11/02/2010 |
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| Last Update Date | 11/02/2010 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4688690308 |
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| Medicare Enrollment ID | O20051021000021 |
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Medical Identifiers
Medical identifiers for Angela D Lewis Do Psc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821398173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 02545 (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Angela D Lewis Do Psc acts as a billing entity for following providers:
| Provider Name | Angela Dawn Lewis |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1710073580
PECOS PAC ID: 7810181757
Enrollment ID: I20101104000377 |
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