William Lewis-de Los Angeles, MD - Medicare Pediatrics in Providence, RI

William Lewis-de Los Angeles, MD is a medicare enrolled "Pediatrics" physician in Providence, Rhode Island. His current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4471.

William Lewis-de Los Angeles is licensed to practice in Rhode Island (license number MD16739) 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 1073930053.

Contact Information

William Lewis-de Los Angeles, MD
593 Eddy St,
Providence, RI 02903
(401) 444-4471
(401) 444-7574



Physician's Profile

Full NameWilliam Lewis-de Los Angeles
GenderMale
SpecialityPediatrics
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073930053
  • Provider Enumeration Date: 03/27/2014
  • Last Update Date: 06/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496031437
  • Enrollment ID: I20170406000109

Medical Identifiers

Medical identifiers for William Lewis-de Los Angeles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073930053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 1073930053 (Illinois)Secondary
208000000XPediatrics MD16739 (Rhode Island)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. William Lewis-de Los Angeles allows following entities to bill medicare on his behalf.
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871560961
PECOS PAC ID: 5496744005
Enrollment ID: O20040510000386

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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. William Lewis-de Los Angeles 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
William Lewis-de Los Angeles, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (401) 444-6779
William Lewis-de Los Angeles, MD
593 Eddy St,
Providence, RI 02903

Ph: (401) 444-4471

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Pediatrics Doctors in Providence, RI

Evianna Cruz Herrera, MD/MPH
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903
Phone: 401-444-4471    
Sara Regan Ford, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903
Phone: 401-444-4612    Fax: 401-793-8831
Jennifer F Friedman, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-3870
Jason Shapiro, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Dr. Mikhaela Monty, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-7574
Dale Steele, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-854-2504    Fax: 401-854-2519
Chase B Samsel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088

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