Stacee Marie Lewis, MD | |
10401 Sawmill Pkwy Ste 40, Powell, OH 43065-8423 | |
(614) 764-9955 | |
Not Available |
Full Name | Stacee Marie Lewis |
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Gender | Female |
Speciality | Pediatrics |
Location | 10401 Sawmill Pkwy Ste 40, Powell, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316439664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125072646 (Illinois) | Secondary |
208000000X | Pediatrics | 35.143406 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Mailing Address | Practice Location Address |
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Stacee Marie Lewis, MD Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Stacee Marie Lewis, MD 10401 Sawmill Pkwy Ste 40, Powell, OH 43065-8423 Ph: (614) 764-9955 |
Dr. Sara M Kelly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Gracia De Jong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Clairedan Dr, Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Jacqueline Pennywitt, Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Clairedan Dr, Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Dr. Adebomi Adeola Omikunle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Dr. Laura E Osthaus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Dr. Michael R Franks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 |