| Jason Lewis, PA | |
|
860 Lynn St, Lebanon, MO 65536-3810 | |
| (417) 334-8337 | |
| (417) 532-2067 |
| Full Name | Jason Lewis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 860 Lynn St, Lebanon, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902305303 | NPI | - | NPPES |
| 220051493 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2018004810 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozarks Resource Group | 6002068723 | 12 |
| Entity Name | Advocates for a Healthy Community Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631 |
| Entity Name | Ozarks Resource Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639421050 PECOS PAC ID: 6002068723 Enrollment ID: O20130628000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Lewis, PA Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3000 | Jason Lewis, PA 860 Lynn St, Lebanon, MO 65536-3810 Ph: (417) 334-8337 |
Timothy Charles Brazeal, MS, ATC, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 331 Hospital Dr, Suite D, Lebanon, MO 65536 Phone: 417-533-6315 Fax: 417-533-6320 |
Jason Bustin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 100, Lebanon, MO 65536 Phone: 417-533-6751 |
Mr. David Douglas, P.A.C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 755 Cowan Dr, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2865 |
Sara M Rose, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 331 Hospital Dr Ste A, Lebanon, MO 65536 Phone: 417-533-6560 |
Sandra J. Barnes-steen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 331 Hospital Dr, Suite C, Lebanon, MO 65536 Phone: 417-533-6500 Fax: 417-533-6555 |
Ashley A Vanzant, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-532-2067 |
Michael White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 |