| Dr Alan Lewis, MD | |
|
1245 42nd Ave, Gulfport, MS 39501-2666 | |
| (228) 864-8049 | |
| (228) 864-7655 |
| Full Name | Dr Alan Lewis |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 29 Years |
| Location | 1245 42nd Ave, Gulfport, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912090143 | NPI | - | NPPES |
| 1136697 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 14710R (Louisiana) | Primary |
| 207N00000X | Dermatology | 17858 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Entity Name | Alan T Lewis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326319740 PECOS PAC ID: 6103083993 Enrollment ID: O20120207000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alan Lewis, MD 1245 42nd Ave, Gulfport, MS 39501-2666 Ph: (228) 864-8049 | Dr Alan Lewis, MD 1245 42nd Ave, Gulfport, MS 39501-2666 Ph: (228) 864-8049 |
Dr. Robert C Wessler, M.D Dermatology Medicare: Medicare Enrolled Practice Location: 1118 Broad Ave, Gulfport, MS 39501 Phone: 228-863-7115 Fax: 228-863-2723 | |
Joseph P. Shrum, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1245 42nd Ave, Gulfport, MS 39501 Phone: 228-864-8049 Fax: 228-864-7655 | |
Dr. Gwendolyn Ann Crane, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1304 44th Ave, Gulfport, MS 39501 Phone: 228-868-4006 Fax: 228-822-2461 | |
Dr. Angela Booth Wingfield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503 Phone: 228-864-3300 |