Shanda Lewis, in Gardena, CA - Medicare Nurse Practitioner

Shanda Lewis, is a medicare enrolled "Nurse Practitioner" in Gardena, California. Her current practice location is 2020 W 154th St, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 433-7215.

Shanda Lewis is licensed to practice in California (license number 95019042) 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 1285385740.

Contact Information

	Shanda Lewis,
	2020 W 154th St, Gardena, CA 90249-4223
	(310) 433-7215
	Not Available

Map and Direction

Provider's Profile

Full Name	Shanda Lewis
Gender	Female
Speciality	Nurse Practitioner
Location	2020 W 154th St, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285385740
Provider Enumeration Date: 01/15/2022
Last Update Date: 01/15/2022

Medicare PECOS Information:

PECOS PAC ID: 4981087228
Enrollment ID: I20220818001577

Medical Identifiers

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

Identifier	Type	State	Issuer
1285385740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95019042 (California)	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. Shanda Lewis allows following entities to bill medicare on her behalf.

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

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. Shanda 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
Shanda Lewis, 2020 W 154th St, Gardena, CA 90249-4223 Ph: (310) 433-7215	Shanda Lewis, 2020 W 154th St, Gardena, CA 90249-4223 Ph: (310) 433-7215

Reviews and Comments

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Shanda Lewis, - Medicare Nurse Practitioner in Gardena, CA