Cory I Lewis, DPT in Kellogg, ID - Medicare Physical Therapist Provider

Cory I Lewis, DPT is a medicare enrolled "Physical Therapist" provider in Kellogg, Idaho. His current practice location is 740 Mckinley Ave, Kellogg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 457-9125.

Cory I Lewis is licensed to practice in Idaho (license number PT1971) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467496323.

Contact Information

	Cory I Lewis, DPT
	740 Mckinley Ave, Kellogg, ID 83837-2523
	(208) 457-9125
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cory I Lewis
Gender	Male
Speciality	Physical Therapist
Location	740 Mckinley Ave, Kellogg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467496323
Provider Enumeration Date: 06/15/2006
Last Update Date: 01/21/2008

Medicare PECOS Information:

PECOS PAC ID: 3375547680
Enrollment ID: I20060829000141

Medical Identifiers

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

Identifier	Type	State	Issuer
1467496323	NPI	-	NPPES
000010159647	Other	ID	REGENCE
T6319	Other	ID	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT1971 (Idaho)	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. Cory I Lewis allows following entities to bill medicare on his behalf.

Provider Name	Shellman Inc Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326050253 PECOS PAC ID: 4981592938 Enrollment ID: O20040310000340

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. Cory I 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
Cory I Lewis, DPT 740 Mckinley Ave, Kellogg, ID 83837-2523 Ph: (208) 457-9125	Cory I Lewis, DPT 740 Mckinley Ave, Kellogg, ID 83837-2523 Ph: (208) 457-9125

Reviews and Comments

Physical Therapist in Kellogg, ID

Tara Marie Lodi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1625
Rusty M Wood, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 704 Mckinley Avenue, Kellogg, ID 83837 Phone: 208-783-3015
Kelli Jean Kenser, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-3015
Kellogg Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-3015 Fax: 208-783-3015
Sheri L. Zumstein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1610
Lisa Joann Darst, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Mountain Valley Care & Rehabilitation Center, Kellogg, ID 83837 Phone: 208-784-1283 Fax: 208-784-0151

Cory I Lewis, DPT - Medicare Physical Therapist in Kellogg, ID