Illona Lynn Lewis, | |
9150 Overland Plz, Overland, MO 63114-6123 | |
(314) 449-9633 | |
(314) 449-9634 |
Full Name | Illona Lynn Lewis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9150 Overland Plz, Overland, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972380442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2023035406 (Missouri) | Primary |
Entity Name | Karefirst Missouri Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942658943 PECOS PAC ID: 1052605383 Enrollment ID: O20160810000682 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210212002068 |
Entity Name | Archwell Health Professional Services Of Kansas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083289086 PECOS PAC ID: 4688072358 Enrollment ID: O20220411001999 |
Mailing Address | Practice Location Address |
---|---|
Illona Lynn Lewis, 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: () - | Illona Lynn Lewis, 9150 Overland Plz, Overland, MO 63114-6123 Ph: (314) 449-9633 |
Ms. Rachel Nicole Ramos, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9150 Overland Plz, Overland, MO 63114 Phone: 314-449-9633 Fax: 314-949-3428 | |
Kristen E Evans, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9150 Overland Plz, Overland, MO 63114 Phone: 314-449-9633 |