Courtney Rebecca Lewis, COTA is a
Pediatrics physician based in Blountstown, Florida. Courtney Rebecca Lewis is licensed to practice in Florida (license number 14070) and her current practice location is 17479 Nw Angle St, Blountstown, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 209-4026.
NPI number for Courtney Rebecca Lewis is 1710404710 and her current mailing address is 17479 Nw Angle St, Blountstown, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710404710.
Physician's Profile
| Full Name | Courtney Rebecca Lewis |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 17479 Nw Angle St, Blountstown, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710404710
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 08/29/2017
Medical Identifiers
Medical identifiers for Courtney Rebecca Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710404710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 14070 (Florida) | 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. Courtney Rebecca 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 |
|---|
Courtney Rebecca Lewis, COTA
17479 Nw Angle St,
Blountstown, FL 32424-1340
Ph: () - | Courtney Rebecca Lewis, COTA
17479 Nw Angle St,
Blountstown, FL 32424-1340
Ph: (850) 209-4026 |
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