Kevan G Lewis, MD in Green Bay, WI - Medicare Micrographic Dermatologic Surgery (mds)

Kevan G Lewis, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Green Bay, Wisconsin. He went to University Of California, Geffen School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice New Dermatology Group Ltd, New Dermatology Group Ltd and his current practice location is 3059 Voyager Dr, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 965-0345.

Kevan G Lewis is licensed to practice in Wisconsin (license number 53110-020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497970560.

Contact Information

	Kevan G Lewis, MD
	3059 Voyager Dr, Green Bay, WI 54311-8303
	(920) 965-0345
	(920) 257-4559

Map and Direction

Physician's Profile

Full Name	Kevan G Lewis
Gender	Male
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	20 Years
Location	3059 Voyager Dr, Green Bay, 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.

Medical Education and Training:

Kevan G Lewis attended and graduated from University Of California, Geffen School Of Medicine in 2004

NPI Data:

NPI Number: 1497970560
Provider Enumeration Date: 04/16/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4587701370
Enrollment ID: I20100422001006

Medical Identifiers

Medical identifiers for Kevan G Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497970560	NPI	-	NPPES
ENROLLED	Medicaid	IA
P00787809	Other	MN	RAILROAD MEDICARE
1497970560	Medicaid	WI
53110-020	Other	WI	STATE LICENSE
ENROLLED	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	53110-20 (Wisconsin)	Secondary
207N00000X	Dermatology	51745 (Minnesota)	Secondary
207N00000X	Dermatology	LP00514 (Rhode Island)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	53110-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New Dermatology Group Ltd	9537312665	13
New Dermatology Group Ltd	9537312665	13

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. Kevan G Lewis allows following entities to bill medicare on his behalf.

Entity Name	New Dermatology Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235480112 PECOS PAC ID: 9537312665 Enrollment ID: O20130123000281

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. Kevan G 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
Kevan G Lewis, MD 2221 S Webster Ave, Ste 241, Green Bay, WI 54301-2158 Ph: (920) 965-0345	Kevan G Lewis, MD 3059 Voyager Dr, Green Bay, WI 54311-8303 Ph: (920) 965-0345

Reviews and Comments

Dermatology Doctors in Green Bay, WI

Frances Stahl Ballo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129
Dr. Michael James Smullen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1239 W Mason St, Green Bay, WI 54303 Phone: 920-499-0696 Fax: 920-499-0697
Eduardo K Moioli, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Dr. Daniel P Hertel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 920-288-8462
Paul Michael Stover, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129
Dr. Rene Martin Earles, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2221 S Webster Ave, Ste 241, Green Bay, WI 54301 Phone: 920-965-0345 Fax: 920-273-6011

Kevan G Lewis, MD - Medicare Micrographic Dermatologic Surgery (mds) in Green Bay, WI