Dante Neisone Lewis, MD is a medicare enrolled "Pediatrics" physician in Mebane, North Carolina. His current practice location is
3940 Arrowhead Blvd Ste 270, Mebane, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 563-0202.
Dante Neisone Lewis is licensed to practice in North Carolina (license number 2019-00846) 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 1508843442.
Physician's Profile
| Full Name | Dante Neisone Lewis |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 3940 Arrowhead Blvd Ste 270, Mebane, North Carolina |
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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: 1508843442
- Provider Enumeration Date: 12/30/2005
- Last Update Date: 10/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0143310144
- Enrollment ID: I20071214000014
Medical Identifiers
Medical identifiers for Dante Neisone Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508843442 | NPI | - | NPPES |
| 20069023 | Other | SC | SELECT HEALTH |
| 9630227 | Other | SC | AETNA |
| 18500 | Other | SC | EVOLUTIONS |
| 303923 | Medicaid | SC | |
| 5908146 | Medicaid | NC | |
| AA23878552 | Other | SC | MEDICARE PTAN |
| 2019-00846 | Other | NC | NC MEDICAL LICENSE |
| 30392 | Other | SC | SC MEDICAL LICENSE |
| 4001444 | Other | SC | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 2019-00846 (North Carolina) | 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. Dante Neisone Lewis allows following entities to bill medicare on his behalf.
| Entity Name | Georgetown Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982604021
PECOS PAC ID: 8224942123
Enrollment ID: O20031114000600 |
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| Entity Name | Waccamaw Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972503910
PECOS PAC ID: 9133036932
Enrollment ID: O20031126000386 |
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| Entity Name | Eastern Carolina Pediatric Associates PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992749220
PECOS PAC ID: 2163589227
Enrollment ID: O20110909002714 |
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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. Dante Neisone 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 |
|---|
Dante Neisone Lewis, MD
530 W Webb Ave,
Burlington, NC 27217-3706
Ph: (336) 228-8316 | Dante Neisone Lewis, MD
3940 Arrowhead Blvd Ste 270,
Mebane, NC 27302-7637
Ph: (919) 563-0202 |
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