Jack Byron Lewis, MD is a medicare enrolled "Urology" physician in Mansfield, Texas. His current practice location is
252 Matlock Rd Ste 244, Mansfield, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 784-8268.
Jack Byron Lewis is licensed to practice in Oregon (license number MD28015) 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 1396706487.
Physician's Profile
| Full Name | Jack Byron Lewis |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 252 Matlock Rd Ste 244, Mansfield, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396706487
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688753965
- Enrollment ID: I20080512000591
Medical Identifiers
Medical identifiers for Jack Byron Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396706487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 43653-020 (Wisconsin) | Secondary |
| 208800000X | Urology | MD28015 (Oregon) | 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. Jack Byron Lewis allows following entities to bill medicare on his behalf.
| Entity Name | Curry Health District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487696985 PECOS PAC ID: 2365352747 Enrollment ID: O20040109000983 |
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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. Jack Byron 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 |
Jack Byron Lewis, MD 252 Matlock Rd Ste 244, Mansfield, TX 76063-4294 Ph: (817) 784-8268 | Jack Byron Lewis, MD 252 Matlock Rd Ste 244, Mansfield, TX 76063-4294 Ph: (817) 784-8268 |
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