Kellie Daugharty Lewis, APRN in Sandy, UT - Medicare Nurse Practitioner

Kellie Daugharty Lewis, APRN is a medicare enrolled "Nurse Practitioner" in Sandy, Utah. Her current practice location is 39 Wanderwood Way, Sandy, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 561-8398.

Kellie Daugharty Lewis is licensed to practice in Utah (license number 322464-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750467155.

Contact Information

	Kellie Daugharty Lewis, APRN
	39 Wanderwood Way, Sandy, UT 84092-4866
	(801) 561-8398
	(801) 302-0645

Map and Direction

Provider's Profile

Full Name	Kellie Daugharty Lewis
Gender	Female
Speciality	Nurse Practitioner
Location	39 Wanderwood Way, Sandy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750467155
Provider Enumeration Date: 10/27/2006
Last Update Date: 02/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7113831983
Enrollment ID: I20031117000146

Medical Identifiers

Medical identifiers for Kellie Daugharty Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750467155	NPI	-	NPPES
1750467155	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	322464-4405 (Utah)	Primary

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. Kellie Daugharty Lewis allows following entities to bill medicare on her behalf.

Entity Name	Kdm Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538481080 PECOS PAC ID: 3971630732 Enrollment ID: O20100427000628

Entity Name	Western Medical Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790175073 PECOS PAC ID: 0446577290 Enrollment ID: O20150316002507

Entity Name	Senior Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134721228 PECOS PAC ID: 6305260746 Enrollment ID: O20200720000334

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. Kellie Daugharty 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
Kellie Daugharty Lewis, APRN Po Box 1009, Riverton, UT 84065-1009 Ph: (801) 561-8398	Kellie Daugharty Lewis, APRN 39 Wanderwood Way, Sandy, UT 84092-4866 Ph: (801) 561-8398

Reviews and Comments

Nurse Practitioner Nurses in Sandy, UT

Loandra Berg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Ste 110, Sandy, UT 84094 Phone: 801-501-6100
Angela Marie Miller, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11562 S Hickory Valley Dr, Sandy, UT 84092 Phone: 435-901-1995
Theresa Brooke Sligting, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9600 S 1300 E Ste 220, Sandy, UT 84094 Phone: 801-571-0009
Benjamin Zachariah Rollins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 E Mingo Park Dr, Sandy, UT 84070 Phone: 801-554-4784
Miriam Dawn Hughes, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Sandy, UT 84094 Phone: 801-501-2160
Dylan Roy Richmond, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7984 S 1300 E, Sandy, UT 84094 Phone: 916-412-6333
Jennifer Lyn Aragon, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9980 S 300 W Ste 200, Sandy, UT 84070 Phone: 385-495-4151 Fax: 844-596-0409

Kellie Daugharty Lewis, APRN - Medicare Nurse Practitioner in Sandy, UT