Mrs Roseline Kagonya Lewis, NP is a medicare enrolled "Nurse Practitioner" physician in Collins, Mississippi. Her current practice location is
701 S Holly Ave, Collins, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 698-0238.
Mrs Roseline Kagonya Lewis is licensed to practice in Mississippi (license number R784836) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205912946.
Physician's Profile
| Full Name | Mrs Roseline Kagonya Lewis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 701 S Holly Ave, Collins, Mississippi |
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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: 1205912946
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244228112
- Enrollment ID: I20040501000174
Medical Identifiers
Medical identifiers for Mrs Roseline Kagonya Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205912946 | NPI | - | NPPES |
| 00124929 | Medicaid | MS | |
| 512G700003 | Other | MS | MS MEDICARE - GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | R784836 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | R784836 (Mississippi) | 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. Mrs Roseline Kagonya Lewis allows following entities to bill medicare on her behalf.
| Entity Name | Covington County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
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| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
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| Entity Name | Fast Pace Mississippi Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
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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. Mrs Roseline Kagonya 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 |
Mrs Roseline Kagonya Lewis, NP 701 S Holly Ave, Collins, MS 39428-3894 Ph: () - | Mrs Roseline Kagonya Lewis, NP 701 S Holly Ave, Collins, MS 39428-3894 Ph: (601) 698-0238 |
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