Dr Douglas Dalziel Lewis, DO is a medicare enrolled "Internal Medicine" physician in Campbell, Ohio. His current practice location is
315 Struthers Liberty Rd, Campbell, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 750-1333.
Dr Douglas Dalziel Lewis is licensed to practice in Ohio (license number 34005881) 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 1629037239.
Physician's Profile
| Full Name | Dr Douglas Dalziel Lewis |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 315 Struthers Liberty Rd, Campbell, Ohio |
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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: 1629037239
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 03/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 9739168808
- Enrollment ID: I20051205000207
Medical Identifiers
Medical identifiers for Dr Douglas Dalziel Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629037239 | NPI | - | NPPES |
| 2022528 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 34005881 (Ohio) | Primary |
| 208000000X | Pediatrics | 34005881 (Ohio) | Secondary |
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. Dr Douglas Dalziel Lewis allows following entities to bill medicare on his behalf.
| Entity Name | Healthridge Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497717664
PECOS PAC ID: 7416908678
Enrollment ID: O20050204000136 |
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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. Dr Douglas Dalziel 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 |
|---|
Dr Douglas Dalziel Lewis, DO
315 Struthers Liberty Rd,
Campbell, OH 44405-1973
Ph: (330) 750-1333 | Dr Douglas Dalziel Lewis, DO
315 Struthers Liberty Rd,
Campbell, OH 44405-1949
Ph: (330) 750-1333 |
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