Carly Lewis, MS, RD, LD in Prosper, TX - Medicare Dietitian, Registered Provider

Carly Lewis, MS, RD, LD is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Prosper, Texas. Her current practice location is 4200 W University Dr, Prosper, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 303-4200.

Carly Lewis is licensed to practice in Texas (license number DT84424) 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 1215484175.

Contact Information

	Carly Lewis, MS, RD, LD
	4200 W University Dr, Prosper, TX 75078-9805
	(682) 303-4200
	(682) 303-4242

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Lewis
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Pediatric
Location	4200 W University Dr, Prosper, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215484175
Provider Enumeration Date: 09/07/2016
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 8224445069
Enrollment ID: I20210323002823

Medical Identifiers

Medical identifiers for Carly Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215484175	NPI	-	NPPES
DT84424	Other		LICENSED DIETITIAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	DT84424 (Texas)	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. Carly Lewis allows following entities to bill medicare on her behalf.

Provider Name	Cook Childrens Physician Network
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Carly 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
Carly Lewis, MS, RD, LD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6163	Carly Lewis, MS, RD, LD 4200 W University Dr, Prosper, TX 75078-9805 Ph: (682) 303-4200

Reviews and Comments

Dietitian, Registered in Prosper, TX

Stasha Kucel, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 920 Whistler Ln, Prosper, TX 75078 Phone: 214-326-2158
Lucia Rodriguez, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15805 High Line Dr, Prosper, TX 75078 Phone: 214-783-0615
Charlie Michelle Tapken, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242
Kathryn Thibault, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242
Maggie Aznavour, MS, RDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 S Preston Rd Ste 30, Prosper, TX 75078 Phone: 940-222-2399 Fax: 940-228-1298
Rama Sada, Dietitian Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242

Carly Lewis, MS, RD, LD - Medicare Dietitian in Prosper, TX