Latiaha Nichelle Lewis, APRN in East Hartford, CT

Latiaha Nichelle Lewis, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in East Hartford, Connecticut. Her current practice location is Intercommunity, Inc, 281 Main Street, East Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 569-5900.

Latiaha Nichelle Lewis is licensed to practice in Connecticut (license number 11062) 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 1891411641.

Contact Information

	Latiaha Nichelle Lewis, APRN
	Intercommunity, Inc, 281 Main Street, East Hartford, CT 06118
	(860) 569-5900
	Not Available

Map and Direction

Provider's Profile

Full Name	Latiaha Nichelle Lewis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	Intercommunity, Inc, East Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891411641
Provider Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8325411580
Enrollment ID: I20230309000224

Medical Identifiers

Medical identifiers for Latiaha Nichelle Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891411641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11062 (Connecticut)	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. Latiaha Nichelle Lewis allows following entities to bill medicare on her behalf.

Entity Name	Intercommunity Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073548533 PECOS PAC ID: 9032001649 Enrollment ID: O20040329000218

Entity Name	Step Up Care Pc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156

Entity Name	Impact Health Psych Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730781022 PECOS PAC ID: 6204248149 Enrollment ID: O20201217000105

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. Latiaha Nichelle 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
Latiaha Nichelle Lewis, APRN 86 Summer Hill Rd, Middletown, CT 06457-5646 Ph: (860) 710-3104	Latiaha Nichelle Lewis, APRN Intercommunity, Inc, 281 Main Street, East Hartford, CT 06118 Ph: (860) 569-5900

Reviews and Comments

Nurse Practitioner Nurses in East Hartford, CT

Ms. Kristina Maria Deconti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 893 Main St, East Hartford, CT 06108 Phone: 860-528-4124
Diane Sanchez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, Suite 202, East Hartford, CT 06108 Phone: 860-528-4124 Fax: 860-282-1213
Jazmin Johnson, MSN-ED, APRN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Tolland St, East Hartford, CT 06108 Phone: 203-679-9274 Fax: 860-374-2249
Mileidy Perez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 Brewer St, East Hartford, CT 06118 Phone: 860-281-6717
Luz Esther Valentin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359
Theresa Antwi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 Burnside Ave Apt A4, East Hartford, CT 06108 Phone: 240-408-0736
Ms. Nancy Concepcion, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 Fax: 860-290-4142

Latiaha Nichelle Lewis, APRN - Medicare Nurse Practitioner in East Hartford, CT