Edmund H. Lew, Md, Inc - Medicare Primary Care in Glendale, CA

Edmund H. Lew, Md, Inc is a medicare enrolled primary clinic (Family Medicine) in Glendale, California. The current practice location for Edmund H. Lew, Md, Inc is 1505 Wilson Ter Ste 250, Glendale, California. For appointments, you can reach them via phone at (818) 246-7115. The mailing address for Edmund H. Lew, Md, Inc is 1505 Wilson Ter Ste 250, Glendale, California and phone number is (818) 246-7115.

Edmund H. Lew, Md, Inc is licensed to practice in California (license number G55213). The clinic also participates in the medicare program and its NPI number is 1174026926. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 246-7115.

Contact Information

Edmund H. Lew, Md, Inc
1505 Wilson Ter Ste 250
Glendale
CA 91206-4075
(818) 246-7115
(818) 246-8352

Primary Care Clinic Profile

Full NameEdmund H. Lew, Md, Inc
SpecialityFamily Medicine
Location1505 Wilson Ter Ste 250, Glendale, California
Authorized Official Name and PositionEdmund H Lew (OWNER)
Authorized Official Contact8182467115
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edmund H. Lew, Md, Inc
1505 Wilson Ter Ste 250
Glendale
CA 91206-4075

Ph: (818) 246-7115
Edmund H. Lew, Md, Inc
1505 Wilson Ter Ste 250
Glendale
CA 91206-4075

Ph: (818) 246-7115

NPI Details:

NPI Number1174026926
Provider Enumeration Date03/16/2018
Last Update Date03/16/2018

Medicare PECOS Information:

Medicare PECOS PAC ID9638421118
Medicare Enrollment IDO20181010003660

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Medical Identifiers

Medical identifiers for Edmund H. Lew, Md, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174026926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G55213 (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. Edmund H. Lew, Md, Inc acts as a billing entity for following providers:
Provider NameEdmund H Lew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528027836
PECOS PAC ID: 0345321857
Enrollment ID: I20120312000831

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Provider NameBrianne A Medina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326594219
PECOS PAC ID: 1153604723
Enrollment ID: I20170203002665

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Provider NameMathew G Lew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356792907
PECOS PAC ID: 2365779162
Enrollment ID: I20190815002499

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Provider NameGinger Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780263749
PECOS PAC ID: 9931585882
Enrollment ID: I20220930000866

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Provider NameRyan Lew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760261218
PECOS PAC ID: 2062864804
Enrollment ID: I20240117003842

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