Patricia Marie Lewis, is a
Substance Abuse Rehabilitation Facility based in Detroit, Michigan. Patricia Marie Lewis is licensed to practice in Michigan (license number ) and her current practice location is
1852 W Grand Blvd, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 894-8444.
NPI number for Patricia Marie Lewis is 1679942080 and her current mailing address is 1852 W Grand Blvd, Detroit, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679942080.
Healthcare Provider's Profile
| Full Name | Patricia Marie Lewis |
|---|
| Gender | Female |
|---|
| Speciality | Substance Abuse Rehabilitation Facility |
|---|
| Location | 1852 W Grand Blvd, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679942080
- Provider Enumeration Date: 09/16/2015
- Last Update Date: 09/16/2015
Medical Identifiers
Medical identifiers for Patricia Marie Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679942080 | NPI | - | NPPES |
| 38-1917278 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | L528696 (Michigan) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (Michigan) | 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. Patricia Marie Lewis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Patricia Marie Lewis, 1852 W Grand Blvd, Detroit, MI 48208-1006 Ph: (313) 894-8444 | Patricia Marie Lewis, 1852 W Grand Blvd, Detroit, MI 48208-1006 Ph: (313) 894-8444 |
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