Justin J Lewis, PA-C is a medicare enrolled "Physician Assistant" in Salem, Kentucky. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Tri-rivers Healthcare Pllc and his current practice location is
141 Hospital Dr, Ste 102, Salem, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 988-3298.
Justin J Lewis is licensed to practice in Kentucky (license number PA2237) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538696356.
Provider's Profile
| Full Name | Justin J Lewis |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 141 Hospital Dr, Salem, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Justin J Lewis graduated from nursing school in 2017
NPI Data:
- NPI Number: 1538696356
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 04/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991077976
- Enrollment ID: I20170825002217
Medical Identifiers
Medical identifiers for Justin J Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538696356 | NPI | - | NPPES |
| 000001106789 | Other | KY | ANTHEM BLUE CROSS AND BLUE SHIELD OF KY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | TC604 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | PA2237 (Kentucky) | Primary |
| 224Z00000X | Occupational Therapy Assistant | 136934 (Kentucky) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tri-rivers Healthcare Pllc | 8426965278 | 14 |
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. Justin J Lewis allows following entities to bill medicare on his behalf.
| Entity Name | Tri-rivers Healthcare PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598885998
PECOS PAC ID: 8426965278
Enrollment ID: O20040511001797 |
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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. Justin J 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 |
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Justin J Lewis, PA-C
Po Box 347,
Salem, KY 42078-0347
Ph: (270) 988-3298 | Justin J Lewis, PA-C
141 Hospital Dr, Ste 102,
Salem, KY 42078-8043
Ph: (270) 988-3298 |
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