Dr Mallory Diane Lewis, DO in Pace, FL - Medicare Family Practice

Dr Mallory Diane Lewis, DO is a medicare enrolled "Family Medicine" physician in Pace, Florida. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sacred Heart Health System Inc, Hawaii Permanente Medical Group Inc and her current practice location is 3754 Highway 90 Ste 300, Pace, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 416-5510.

Dr Mallory Diane Lewis is licensed to practice in Florida (license number OS17878) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588192520.

Contact Information

	Dr Mallory Diane Lewis, DO
	3754 Highway 90 Ste 300, Pace, FL 32571-1098
	(850) 416-5510
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mallory Diane Lewis
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	3754 Highway 90 Ste 300, Pace, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mallory Diane Lewis attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2017

NPI Data:

NPI Number: 1588192520
Provider Enumeration Date: 06/02/2017
Last Update Date: 09/13/2021

Medicare PECOS Information:

PECOS PAC ID: 1052681533
Enrollment ID: I20210805002621

Medical Identifiers

Medical identifiers for Dr Mallory Diane Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588192520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	OS17878 (Florida)	Secondary
207Q00000X	Family Medicine	OS17878 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sacred Heart Hospital	Pensacola, FL	Hospital
Baptist Hospital	Pensacola, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sacred Heart Health System Inc	3779491386	365
Hawaii Permanente Medical Group Inc	7618880667	610

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 Mallory Diane Lewis allows following entities to bill medicare on her behalf.

Entity Name	Sacred Heart Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049

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 Mallory Diane 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 Mallory Diane Lewis, DO 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063	Dr Mallory Diane Lewis, DO 3754 Highway 90 Ste 300, Pace, FL 32571-1098 Ph: (850) 416-5510

Reviews and Comments

Family Medicine Doctors in Pace, FL

Sarah Marie Hicks, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3754 Highway 90 Ste 300, Pace, FL 32571 Phone: 850-746-0130 Fax: 850-746-0131
Dr. Matthew G. Kinzelman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3754 Highway 90, 200, Pace, FL 32571 Phone: 850-416-5200 Fax: 850-416-5201
Dr. Benjamin Louis Konell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4262 Woodbine Rd, Pace, FL 32571 Phone: 850-494-4600
Andrew Dean Henson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3754 Highway 90 Ste 200, Pace, FL 32571 Phone: 850-416-5200 Fax: 850-416-5201
Dr. Joshua Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3874 Highway 90, Pace, FL 32571 Phone: 850-995-4244 Fax: 850-995-9188
Bradley Brain Hawkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4435 Highway 90, Pace, FL 32571 Phone: 850-416-5205 Fax: 850-416-5204
Mrs. Tammy G Pruse, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3874 Highway 90 Ste 101, Pace, FL 32571 Phone: 850-908-2315 Fax: 850-908-2307

Dr Mallory Diane Lewis, DO - Medicare Family Practice in Pace, FL