Mrs Lisa M Lewis, PA-C in Marietta, GA - Medicare Physician Assistant

Mrs Lisa M Lewis, PA-C is a medicare enrolled "Physician Assistant" in Marietta, Georgia. Her current practice location is 4800 Olde Towne Pkwy Ste 250, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 971-3376.

Mrs Lisa M Lewis is licensed to practice in Georgia (license number 4105) 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 1003857244.

Contact Information

	Mrs Lisa M Lewis, PA-C
	4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428
	(770) 971-3376
	Not Available

Provider's Profile

Full Name	Mrs Lisa M Lewis
Gender	Female
Speciality	Physician Assistant
Location	4800 Olde Towne Pkwy Ste 250, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003857244
Provider Enumeration Date: 06/09/2006
Last Update Date: 04/30/2020

Medicare PECOS Information:

PECOS PAC ID: 3173586104
Enrollment ID: I20041110000304

Medical Identifiers

Medical identifiers for Mrs Lisa M Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003857244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4105 (Georgia)	Primary

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. Mrs Lisa M 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
Mrs Lisa M Lewis, PA-C 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 Ph: (770) 971-3376	Mrs Lisa M Lewis, PA-C 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 Ph: (770) 971-3376

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Mrs Lisa M Lewis, PA-C - Medicare Physician Assistant in Marietta, GA