Samantha Nicole Lewis (NPI# 1992272405, PAC ID# 6901150226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992272405 |
| PAC ID by PECOS | 6901150226 |
| Professional Enrollment ID | I20181126001053 |
| Full Name | Samantha Nicole Lewis |
| Organization Legal Name | DR MARY TILAK P C |
| Address |
6625 W Lincoln Hwy Crown Point IN 46307-9678 |
| Phone Number | 2199228051 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951490390 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150125 | COMMUNITY HOSPITAL |
| 150034 | ST MARY MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 6625 W Lincoln Hwy, Crown Point, IN 46307-9678 | 2199228051 | DR MARY TILAK P C |
| 2241 45th St, Highland, IN 46322-2601 | 2199228051 | DR MARY TILAK P C |
| Organization Legal Name | DR MARY TILAK P C |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah Halewicz | Nurse Practitioner | Dr Mary Tilak P C | 2241 45th St, Highland, IN 46322-2601 |
| Mary N Tilak | Internal Medicine | Dr Mary Tilak P C | 6625 W Lincoln Hwy, Crown Point, IN 46307-9678 |
| Michele J Keller | Family Medicine | Dr Mary Tilak P C | 6625 W Lincoln Hwy, Crown Point, IN 46307-9678 |
| Elizabeth A Case | Nurse Practitioner | Dr Mary Tilak P C | 2241 45th St, Highland, IN 46322-2601 |
| Brian John Kraus | Nurse Practitioner | Dr Mary Tilak P C | 6625 W Lincoln Hwy, Crown Point, IN 46307-9678 |
| Street Address |
6625 W LINCOLN HWY |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-9678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Abraham | Neurology | Community Care Network Inc | 6625 W Lincoln Hwy, Suite 4, Crown Point, IN 46307-6611 |
| Ender A Akan | Neurology | Community Care Network Inc | 6625 W Lincoln Hwy, Suite 4, Crown Point, IN 46307-6611 |
| Mary N Tilak | Internal Medicine | Dr Mary Tilak P C | 6625 W Lincoln Hwy, Crown Point, IN 46307-9678 |
| Michele J Keller | Family Medicine | Dr Mary Tilak P C | 6625 W Lincoln Hwy, Crown Point, IN 46307-9678 |
| Katrina Lee | Obstetrics/gynecology | Community Care Network Inc | 6625 W Lincoln Hwy, Suite 4, Crown Point, IN 46307-6611 |
| Shaila Gupta | Neurology | Community Care Network Inc | 6625 W Lincoln Hwy, Suite 4, Crown Point, IN 46307-6611 |
| Mark A Feldner | Family Medicine | Community Care Network Inc | 6625 W Lincoln Hwy, Suite 4, Crown Point, IN 46307-6611 |
| Brian John Kraus | Nurse Practitioner | Dr Mary Tilak P C | 6625 W Lincoln Hwy, Crown Point, IN 46307-9678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
| Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
| Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Kenneth W Blumenthal | Allergy/immunology | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Find all physicians in zip 46307 | |||
| City | CROWN POINT |
| Zip Code | 46307 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CROWN POINT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Samantha Nicole Lewis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.