Diana Concepcion Lopez-perez, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Immokalee, Florida. Her current practice location is
1441 Heritage Blvd, Immokalee, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 658-3000.
Diana Concepcion Lopez-perez is licensed to practice in Florida (license number SW20885) 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 1811600034.
Healthcare Provider's Profile
Full Name | Diana Concepcion Lopez-perez |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1441 Heritage Blvd, Immokalee, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811600034
- Provider Enumeration Date: 01/03/2023
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496128316
- Enrollment ID: I20230223002481
Medical Identifiers
Medical identifiers for Diana Concepcion Lopez-perez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811600034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW20885 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | SW20885 (Florida) | 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. Diana Concepcion Lopez-perez allows following entities to bill medicare on her behalf.
Entity Name | Collier Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609827211 PECOS PAC ID: 4183521925 Enrollment ID: O20040210000106 |
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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. Diana Concepcion Lopez-perez 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 |
Diana Concepcion Lopez-perez, LCSW 1454 Madison Ave W, Immokalee, FL 34142-2200 Ph: (239) 658-3000 | Diana Concepcion Lopez-perez, LCSW 1441 Heritage Blvd, Immokalee, FL 34142-2260 Ph: (239) 658-3000 |
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