Kourtny Deana Lewis, PA-C is a
Physician Assistant based in District Heights, Maryland. Kourtny Deana Lewis is licensed to practice in Maryland (license number C0010076) and her current practice location is
5710 Silver Hill Rd, District Heights, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 736-7000.
NPI number for Kourtny Deana Lewis is 1104662386 and her current mailing address is 7903 Prentice Ct, Fort Washington, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104662386.
Provider's Profile
| Full Name | Kourtny Deana Lewis |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 5710 Silver Hill Rd, District Heights, Maryland |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104662386
- Provider Enumeration Date: 07/08/2024
- Last Update Date: 10/14/2025
Medical Identifiers
Medical identifiers for Kourtny Deana Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104662386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | C0010076 (Maryland) | Primary |
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. Kourtny Deana Lewis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kourtny Deana Lewis, PA-C 7903 Prentice Ct, Fort Washington, MD 20744-4449 Ph: (240) 605-3833 | Kourtny Deana Lewis, PA-C 5710 Silver Hill Rd, District Heights, MD 20747-1101 Ph: (301) 736-7000 |
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