| Dr Harrison Lewis Iii, PA-C | |
|
4340 Fisher Rd, Prosper, TX 75078-2602 | |
| (972) 608-3200 | |
| Not Available |
| Full Name | Dr Harrison Lewis Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 4340 Fisher Rd, Prosper, Texas |
| 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 |
|---|---|---|---|
| 1184972994 | NPI | - | NPPES |
| 342529001 | Medicaid | TX | |
| 391698YMAF | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA03127 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 085007217 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center | Rockford, IL | Hospital |
| Osf Saint Katharine Medical Center | Dixon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 2123 |
| Entity Name | Saint Anthony Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942248802 PECOS PAC ID: 5496654006 Enrollment ID: O20040102000555 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harrison Lewis Iii, PA-C 4340 Fisher Rd, Prosper, TX 75078-2602 Ph: (214) 415-9334 | Dr Harrison Lewis Iii, PA-C 4340 Fisher Rd, Prosper, TX 75078-2602 Ph: (972) 608-3200 |
Benoy Abraham George, CSA, LSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2611 Townlake Dr, Prosper, TX 75078 Phone: 972-974-2993 |
Kari Milch, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242 |
Cynthia Okeke, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1061 N Coleman St Ste 10, Prosper, TX 75078 Phone: 469-257-3500 Fax: 844-209-9082 |
Mrs. Gina Rivas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4150 Silver Spur Dr, Prosper, TX 75078 Phone: 432-978-8844 |
Jonathan Guinto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1450 N Preston Rd Ste 60, Prosper, TX 75078 Phone: 972-316-4555 Fax: 469-481-2373 |
Emily Renee Bouyea, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1061 N Coleman St Ste 10, Prosper, TX 75078 Phone: 469-296-1049 |
Puneet Dhaliwal, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 Bryn Mawr Dr, Prosper, TX 75078 Phone: 469-323-1892 |