Nicole L Lewis, MD - Medicare Family Practice in San Jose, CA

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Nicole L Lewis, MD is a medicare enrolled "Family Medicine" physician in San Jose, California. She went to Wayne State University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Healthcare Alliance, Sutter Valley Medical Foundation and her current practice location is 6475 Camden Ave Ste 105, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 997-9155.

Nicole L Lewis is licensed to practice in California (license number C159091) 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 1679860142.

Contact Information

Nicole L Lewis, MD
6475 Camden Ave Ste 105,
San Jose, CA 95120
(408) 997-9155
Not Available

Map and Direction




Physician's Profile

Full NameNicole L Lewis
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location6475 Camden Ave Ste 105, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole L Lewis attended and graduated from Wayne State University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1679860142
  • Provider Enumeration Date: 07/06/2011
  • Last Update Date: 08/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951525302
  • Enrollment ID: I20190910003755

Medical Identifiers

Medical identifiers for Nicole L Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679860142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine C159091 (California)Primary
207Q00000XFamily Medicine 4301098534 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Medical Center, SacramentoSacramento, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Healthcare Alliance6305748799346
Sutter Valley Medical Foundation98300945151840

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. Nicole L Lewis allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameUniversity Healthcare Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760531198
PECOS PAC ID: 6305748799
Enrollment ID: O20040126000292
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

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. Nicole L 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 AddressPractice Location Address
Nicole L Lewis, MD
6475 Camden Ave Ste 105,
San Jose, CA 95120-2847

Ph: (408) 997-9155		Nicole L Lewis, MD
6475 Camden Ave Ste 105,
San Jose, CA 95120

Ph: (408) 997-9155

Reviews and Comments


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Dr. Galiba Gaity Rahman, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.