Dr Wilfredo Raphael Paoli Lopez, MD is a medicare enrolled "General Practice" provider in Coamo, Puerto Rico. His current practice location is
Mansiones De Coamo, 319 Calle Imperio, Coamo, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(939) 630-0961.
Dr Wilfredo Raphael Paoli Lopez is licensed to practice in Puerto Rico (license number 14892) 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 1285797969.
Healthcare Provider's Profile
| Full Name | Dr Wilfredo Raphael Paoli Lopez |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | Mansiones De Coamo, Coamo, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285797969
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 09/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 9830001148
- Enrollment ID: I20031105000046
Medical Identifiers
Medical identifiers for Dr Wilfredo Raphael Paoli Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285797969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 14892 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | 14892 (Puerto Rico) | 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. Dr Wilfredo Raphael Paoli Lopez allows following entities to bill medicare on his behalf.
| Provider Name | Hospital Menonita De Cayey |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750317764
PECOS PAC ID: 2466449657
Enrollment ID: O20040429000135 |
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| Provider Name | Mennonite General Hospital Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851320394
PECOS PAC ID: 6709843964
Enrollment ID: O20041220000467 |
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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. Dr Wilfredo Raphael Paoli Lopez 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 |
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Dr Wilfredo Raphael Paoli Lopez, MD
Mansiones De Coamo, 319 Calle Imperio,
Coamo, PR 00769-9307
Ph: (939) 630-0961 | Dr Wilfredo Raphael Paoli Lopez, MD
Mansiones De Coamo, 319 Calle Imperio,
Coamo, PR 00769-9307
Ph: (939) 630-0961 |
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