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Cassidy Marie Lewis

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

13620 Reese Blvd E, Ste 100, Huntersville, NC 28078-6417

PECOS Enrollment

This provider is enrolled in PECOS as CASSIDY LEWIS.

Based on the most recent information from CMS, provider Cassidy Marie Lewis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:49 AM.

Profile Details

Provider ID
1902664832
Provider Type
Individual
Full Name
Lewis, Cassidy Marie
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/6/2024
Last Updated
7/15/2024

Contact Information

Practice Location

13620 Reese Blvd E, Ste 100, Huntersville, NC 28078-6417

(704) 801-7330

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5019726 North Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5019726 North Carolina

Cassidy Marie Lewis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

Description

License

Code

Description

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