Mrs Blakeley Madison Lewis, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Glade Spring, Virginia. Her current practice location is
636 S Monte Vista Dr, Glade Spring, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 429-5163.
Mrs Blakeley Madison Lewis is licensed to practice in Virginia (license number 0024174992) 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 1952821506.
Provider's Profile
| Full Name | Mrs Blakeley Madison Lewis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 636 S Monte Vista Dr, Glade Spring, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952821506
- Provider Enumeration Date: 06/25/2017
- Last Update Date: 06/25/2017
Medicare PECOS Information:
- PECOS PAC ID: 6608132691
- Enrollment ID: I20230203000053
Medical Identifiers
Medical identifiers for Mrs Blakeley Madison Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952821506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 0024174992 (Virginia) | 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. Mrs Blakeley Madison Lewis allows following entities to bill medicare on her behalf.
| Entity Name | Marden Medical, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386978062 PECOS PAC ID: 4587702394 Enrollment ID: O20091117000103 |
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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. Mrs Blakeley Madison 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 |
Mrs Blakeley Madison Lewis, FNP-BC 728 Sunset Dr, Chilhowie, VA 24319-4504 Ph: (423) 356-7739 | Mrs Blakeley Madison Lewis, FNP-BC 636 S Monte Vista Dr, Glade Spring, VA 24340-2712 Ph: (276) 429-5163 |
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