Mrs Mandi E Lew, CNM is a medicare enrolled "Advanced Practice Midwife" in Rock Springs, Wyoming. Her current practice location is
2620 Commercial Way Ste 140, Rock Springs, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(435) 755-6061.
Mrs Mandi E Lew is licensed to practice in Wyoming (license number 22001.1483) 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 1568829109.
Provider's Profile
| Full Name | Mrs Mandi E Lew |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2620 Commercial Way Ste 140, Rock Springs, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568829109
- Provider Enumeration Date: 01/27/2016
- Last Update Date: 07/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 6709172943
- Enrollment ID: I20190129003051
Medical Identifiers
Medical identifiers for Mrs Mandi E Lew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568829109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 22001.1483 (Wyoming) | 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 Mandi E Lew allows following entities to bill medicare on her behalf.
| Entity Name | Bear Lake Community Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629309786
PECOS PAC ID: 9032020037
Enrollment ID: O20111110000031 |
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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 Mandi E Lew 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 |
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Mrs Mandi E Lew, CNM
3000 College Dr,
Rock Springs, WY 82901-4202
Ph: (307) 362-1861 | Mrs Mandi E Lew, CNM
2620 Commercial Way Ste 140,
Rock Springs, WY 82901-4750
Ph: (435) 755-6061 |
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