Matthew Lewis, in Provo, UT - Medicare Dietitian, Registered Provider

Matthew Lewis, is a medicare enrolled "Dietitian, Registered" provider in Provo, Utah. His current practice location is 395 W Cougar Blvd Ste 401, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7546.

Matthew Lewis is licensed to practice in Utah (license number 8691966-4901) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457722563.

Contact Information

	Matthew Lewis,
	395 W Cougar Blvd Ste 401, Provo, UT 84604-3338
	(801) 357-7546
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Lewis
Gender	Male
Speciality	Dietitian, Registered
Location	395 W Cougar Blvd Ste 401, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457722563
Provider Enumeration Date: 10/15/2015
Last Update Date: 12/05/2025

Medicare PECOS Information:

PECOS PAC ID: 7113253733
Enrollment ID: I20190719001145

Medical Identifiers

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

Identifier	Type	State	Issuer
1457722563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	8691966-4901 (Utah)	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. Matthew Lewis allows following entities to bill medicare on his behalf.

Provider Name	Confederated Tribes Of The Goshute Reservation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750510277 PECOS PAC ID: 0042451650 Enrollment ID: O20130724000653

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. Matthew 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
Matthew Lewis, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Matthew Lewis, 395 W Cougar Blvd Ste 401, Provo, UT 84604-3338 Ph: (801) 357-7546

Reviews and Comments

Dietitian, Registered in Provo, UT

Mrs. Holly Yorgason, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7475 Fax: 801-357-7997
Brooklin Clements, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 441 N 1220 W, Provo, UT 84601 Phone: 385-307-6111
Donna L Schofield, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7546
Kristen Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 395 W Cougar Blvd Ste 203, Provo, UT 84604 Phone: 801-357-7706
Allison Shippen, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546
Daniel Burgess, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8413
Lisa Danielle Rivera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2693 W 530 N, Provo, UT 84601 Phone: 801-885-2683

Matthew Lewis, - Medicare Dietitian in Provo, UT