Individual ProviderBrandon LewisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address640 E 700 S Ste 201, Saint George, UT 84770-5732(435) 627-3500PECOS EnrollmentBased on the most recent information from CMS, provider Brandon Lewis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1598246738Provider TypeIndividualFull NameLewis, BrandonCredentialFNP-CGenderMaleSole ProprietorNoEnumeration Date8/26/2018Last Updated4/8/2020Contact InformationPractice LocationPractice Address640 E 700 S Ste 201, Saint George, UT 84770-5732Phone(435) 627-3500Fax(435) 359-4508Mailing LocationMailing Address640 E 700 S Ste 201, Saint George, UT 84770-5732Phone(435) 627-3500Fax(435) 359-4508Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense8135154-4405Utah