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Madison Claire Lewis, PA-C

Physician Assistant in Dallas, TX. Individual provider (NPI-1).

NPI number1336801232
StatusActive
Last updated in NPPESOct 7, 2021

Details

NPI
1336801232
Entity type
Individual (NPI-1)
Name
Mrs. Madison Claire Lewis
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2021
Certification date
Oct 1, 2021
Last updated
Oct 7, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–TXYes

Practice location

4835 Lbj Fwy Ste 900
Dallas, TX 75244-6001

Phone 469-420-5503

Mailing address

401 Foch St Apt 1168
Fort Worth, TX 76107-2570

Phone 802-681-5494

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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