Yanique Latoya Lewis, FNP-C - Medicare Nurse Practitioner in Morrow, GA

Yanique Latoya Lewis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Morrow, Georgia. Her current practice location is 1467 John Robert Dr Ste B, Morrow, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 293-8050.

Yanique Latoya Lewis is licensed to practice in Georgia (license number RN248450) 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 1003467275.

Contact Information

Yanique Latoya Lewis, FNP-C
1467 John Robert Dr Ste B,
Morrow, GA 30260-1770
(770) 293-8050
Not Available



Provider's Profile

Full NameYanique Latoya Lewis
GenderFemale
SpecialityNurse Practitioner - Family
Location1467 John Robert Dr Ste B, Morrow, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003467275
  • Provider Enumeration Date: 09/27/2019
  • Last Update Date: 01/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103238910
  • Enrollment ID: I20201221001786

Medical Identifiers

Medical identifiers for Yanique Latoya Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003467275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN248450 (Georgia)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. Yanique Latoya Lewis allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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. Yanique Latoya 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
Yanique Latoya Lewis, FNP-C
1467 John Robert Dr Ste B,
Morrow, GA 30260-1770

Ph: (770) 293-8050
Yanique Latoya Lewis, FNP-C
1467 John Robert Dr Ste B,
Morrow, GA 30260-1770

Ph: (770) 293-8050

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Nurse Practitioner Nurses in Morrow, GA

Yvette Monique Ash, F.N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6053 Jonesboro Rd, Morrow, GA 30260
Phone: 707-824-4343    
Emmanuela C Conseillant,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1115 Mount Zion Rd Ste J, Morrow, GA 30260
Phone: 404-883-9140    
Mr. Patrick Washington, N.P.-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5809 N Lake Dr # 1000, Morrow, GA 30260
Phone: 678-466-5591    Fax: 678-466-4944
Ashley Elaine Martin, ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6635 Lake Dr, Morrow, GA 30260
Phone: 770-968-1323    Fax: 770-968-4556
Susan Sanner, APRN-FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2777 Priscilla Way, Morrow, GA 30260
Phone: 770-961-4866    Fax: 770-961-4866
Ms. Naiomi Michelle Shockley, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1115 Mount Zion Rd Ste E, Morrow, GA 30260
Phone: 770-960-9999    Fax: 770-960-0931

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