Russell Lewis Jr, MD - Medicare Family Medicine in Waupaca, WI

Russell Lewis Jr, MD is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. His current practice location is 190 Grand Seasons Dr, Waupaca, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 258-3650.

Russell Lewis Jr is licensed to practice in Wisconsin (license number 4937420) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255367025.

Contact Information

Russell Lewis Jr, MD
190 Grand Seasons Dr,
Waupaca, WI 54981-8219
(715) 258-3650
(715) 258-5749



Physician's Profile

Full NameRussell Lewis Jr
GenderMale
SpecialityFamily Medicine
Location190 Grand Seasons Dr, Waupaca, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255367025
  • Provider Enumeration Date: 06/24/2006
  • Last Update Date: 05/27/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9739192600
  • Enrollment ID: I20111031000485

Medical Identifiers

Medical identifiers for Russell Lewis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255367025NPI-NPPES
34867900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4937420 (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. Russell Lewis Jr allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Maryland Family Medicine Associates, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053424994
PECOS PAC ID: 4183662851
Enrollment ID: O20050422000217

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Entity NameUniversity Of Maryland Faculty Physicians Immediate Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972986271
PECOS PAC ID: 7618284654
Enrollment ID: O20150923001951

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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. Russell Lewis Jr 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 AddressPractice Location Address
Russell Lewis Jr, MD
900 Illinois Avenue,
Stevens Point, WI 54481

Ph: (715) 346-5000
Russell Lewis Jr, MD
190 Grand Seasons Dr,
Waupaca, WI 54981-8219

Ph: (715) 258-3650

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Asia accounts for more than half of global temperature-related deaths, study finds

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Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: N2437 E Miner Dr, Waupaca, WI 54981
Phone: 608-475-0328    Fax: 715-256-5452
Ashley Tardieu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    Fax: 715-256-3079
Sarah C Durst, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    Fax: 915-756-3079
Dorrie Marie Happ, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3062    Fax: 715-256-3079
Molly Ann Szymanski, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    
Amy Nicole Mandeville,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    
Patty Kile,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    

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