Adreonne Kaydrell Lewis Houston, NP is a medicare enrolled "Nurse Practitioner" physician in Decatur, Georgia. Her current practice location is
3527 Memorial Dr Unit W, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 573-4844.
Adreonne Kaydrell Lewis Houston is licensed to practice in Georgia (license number RN296735) 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 1124643614.
Physician's Profile
| Full Name | Adreonne Kaydrell Lewis Houston |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 3527 Memorial Dr Unit W, Decatur, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124643614
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 05/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840562716
- Enrollment ID: I20241008000994
Medical Identifiers
Medical identifiers for Adreonne Kaydrell Lewis Houston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124643614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | RN296735 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 213745 (Louisiana) | Secondary |
| 363L00000X | Nurse Practitioner | RN296735 (Georgia) | 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. Adreonne Kaydrell Lewis Houston allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Cardiology Of Atlanta, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275729691
PECOS PAC ID: 0345321691
Enrollment ID: O20080114000153 |
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| Entity Name | Chronic Disease Management Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699300939
PECOS PAC ID: 7618306721
Enrollment ID: O20200409003695 |
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| Entity Name | Theoria Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20230105001168 |
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| Entity Name | Fleur-de-lis Health Solutions Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487401352
PECOS PAC ID: 9931640463
Enrollment ID: O20240924001457 |
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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. Adreonne Kaydrell Lewis Houston 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 |
|---|
Adreonne Kaydrell Lewis Houston, NP
1 Embarcadero Ctr Fl 19,
San Francisco, CA 94111-3628
Ph: () - | Adreonne Kaydrell Lewis Houston, NP
3527 Memorial Dr Unit W,
Decatur, GA 30032-2731
Ph: (404) 573-4844 |
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