Tishawna Charee Lewis, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Locust Grove, Georgia. Her current practice location is
908 Hesston Dr, Locust Grove, Georgia. You can reach out to her office (for appointments etc.) via phone at
(661) 204-2156.
Tishawna Charee Lewis is licensed to practice in California (license number 119259) 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 1487057980.
Healthcare Provider's Profile
Full Name | Tishawna Charee Lewis |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 908 Hesston Dr, Locust Grove, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487057980
- Provider Enumeration Date: 09/29/2014
- Last Update Date: 04/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587017462
- Enrollment ID: I20240126002155
Medical Identifiers
Medical identifiers for Tishawna Charee Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487057980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | IMF96290 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 119259 (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. Tishawna Charee Lewis allows following entities to bill medicare on her behalf.
Entity Name | Native American Mental Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073919171 PECOS PAC ID: 5395072490 Enrollment ID: O20190813000872 |
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Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Tishawna Charee 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 |
Tishawna Charee Lewis, LMFT 908 Hesston Dr, Locust Grove, GA 30248-1104 Ph: (661) 204-2156 | Tishawna Charee Lewis, LMFT 908 Hesston Dr, Locust Grove, GA 30248-1104 Ph: (661) 204-2156 |
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