Dr Estefania Lopez Ortiz, DC is a medicare enrolled "Chiropractor" provider in Sabana Grande, Puerto Rico. Her current practice location is
110 Ave. 21 De Diciembre, Oficina #10, Sabana Grande, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(939) 438-5621.
Dr Estefania Lopez Ortiz is licensed to practice in Puerto Rico (license number 976) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477300242.
Healthcare Provider's Profile
| Full Name | Dr Estefania Lopez Ortiz |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 110 Ave. 21 De Diciembre, Sabana Grande, 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: 1477300242
- Provider Enumeration Date: 05/01/2024
- Last Update Date: 05/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123553740
- Enrollment ID: I20241119004778
Medical Identifiers
Medical identifiers for Dr Estefania Lopez Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477300242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 976 (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 Estefania Lopez Ortiz allows following entities to bill medicare on her behalf.
| Provider Name | Immanis Dignus Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790521565
PECOS PAC ID: 0941733612
Enrollment ID: O20241101003409 |
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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 Estefania Lopez Ortiz 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 Estefania Lopez Ortiz, DC
Po Box 3534,
Lajas, PR 00667-3534
Ph: (787) 392-8740 | Dr Estefania Lopez Ortiz, DC
110 Ave. 21 De Diciembre, Oficina #10,
Sabana Grande, PR 00637-0000
Ph: (939) 438-5621 |
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