| Dr Gary S Lewis, MD | |
|
136 N Main St, Suite 201, Thiensville, WI 53092-1606 | |
| (262) 242-3369 | |
| (262) 242-3219 |
| Full Name | Dr Gary S Lewis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 136 N Main St, Thiensville, Wisconsin |
| 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 |
|---|---|---|---|
| 1194762765 | NPI | - | NPPES |
| 31823100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 330004-020 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 33004-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Physicians Of Wisconsin Llc | 3274842034 | 33 |
| Entity Name | Independent Physicians Of Wisconsin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871975920 PECOS PAC ID: 3274842034 Enrollment ID: O20151016001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary S Lewis, MD 136 N Main St, Suite 201, Thiensville, WI 53092-1606 Ph: (262) 242-3369 | Dr Gary S Lewis, MD 136 N Main St, Suite 201, Thiensville, WI 53092-1606 Ph: (262) 242-3369 |
Seema Aggarwal Afsari, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 136 N Main St, Ste 201, Thiensville, WI 53092 Phone: 262-242-3369 Fax: 833-505-2315 | |
Dr. Larisa I Mazur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 216 Elm St, Thiensville, WI 53092 Phone: 262-238-9576 |