Ms Andrea Lewis, NNP - Medicare Nurse Practitioner in Alta Loma, CA

Ms Andrea Lewis, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Alta Loma, California. Her current practice location is 4928 Clover Pl, Alta Loma, California. You can reach out to her office (for appointments etc.) via phone at (909) 948-5670.

Ms Andrea Lewis is licensed to practice in California (license number 16001) 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 1780707075.

Contact Information

Ms Andrea Lewis, NNP
4928 Clover Pl,
Alta Loma, CA 91737-2469
(909) 948-5670
Not Available



Provider's Profile

Full NameMs Andrea Lewis
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location4928 Clover Pl, Alta Loma, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780707075
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 04/19/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1456584119
  • Enrollment ID: I20220504000931

Medical Identifiers

Medical identifiers for Ms Andrea Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780707075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 16001 (California)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. Ms Andrea Lewis allows following entities to bill medicare on her behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981

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Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508255175
PECOS PAC ID: 1153227814
Enrollment ID: O20160216002196

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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. Ms Andrea 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 AddressPractice Location Address
Ms Andrea Lewis, NNP
4928 Clover Pl,
Alta Loma, CA 91737-2469

Ph: (909) 948-5670
Ms Andrea Lewis, NNP
4928 Clover Pl,
Alta Loma, CA 91737-2469

Ph: (909) 948-5670

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Nurse Practitioner Nurses in Alta Loma, CA

Mr. Shawn Robert Hurley, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9747 Caldaro St, Alta Loma, CA 91737
Phone: 909-476-2190    
Tiffany Monique Horn, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5537 Malachite Ave, Alta Loma, CA 91737
Phone: 909-560-5116    
Buchi Stella Imoohi, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6367 Puma Pl, Alta Loma, CA 91737
Phone: 909-231-9242    

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