Mr Fred Lopez, LCSW in North Baldwin, NY - Medicare Social Worker Provider

Mr Fred Lopez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in North Baldwin, New York. His current practice location is 547 New York Ave, North Baldwin, New York. You can reach out to his office (for appointments etc.) via phone at (516) 546-2975.

Mr Fred Lopez is licensed to practice in New York (license number R043649-1) 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 1164667259.

Contact Information

	Mr Fred Lopez, LCSW
	547 New York Ave, North Baldwin, NY 11510-2605
	(516) 546-2975
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Fred Lopez
Gender	Male
Speciality	Social Worker - Clinical
Location	547 New York Ave, North Baldwin, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164667259
Provider Enumeration Date: 12/03/2008
Last Update Date: 09/02/2016

Medicare PECOS Information:

PECOS PAC ID: 6305801036
Enrollment ID: I20041122001159

Medical Identifiers

Medical identifiers for Mr Fred Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164667259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	R043649-1 (New York)	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. Mr Fred Lopez allows following entities to bill medicare on his behalf.

Entity Name	Peninsula Counseling Center,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437262839 PECOS PAC ID: 2668361353 Enrollment ID: O20040311000882

Entity Name	Harmony Health Care Long Island
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336669670 PECOS PAC ID: 5991970535 Enrollment ID: O20111212000065

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. Mr Fred 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
Mr Fred Lopez, LCSW 380 Nassau Rd, Roosevelt, NY 11575-1343 Ph: (516) 546-2975	Mr Fred Lopez, LCSW 547 New York Ave, North Baldwin, NY 11510-2605 Ph: (516) 546-2975

Reviews and Comments

Social Worker in North Baldwin, NY

Marjorie Vezer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1976 Grand Ave, North Baldwin, NY 11510 Phone: 516-855-1800 Fax: 516-855-1811
Christene A. Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1883 Twain St, North Baldwin, NY 11510 Phone: 516-849-5644
Jeffey Savoy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 696 Baldwin Ave, North Baldwin, NY 11510 Phone: 516-476-0428 Fax: 516-867-2694
Mrs. Bernanie Marie Desvarieux, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1587 Decatur St, North Baldwin, NY 11510 Phone: 516-632-8395 Fax: 516-632-8395
Ms. Toby Ganeles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 775 Brooklyn Ave, North Baldwin, NY 11510 Phone: 516-331-1521
Ricky Demirakos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1976 Grand Ave, North Baldwin, NY 11510 Phone: 516-740-5630 Fax: 516-855-1811

Mr Fred Lopez, LCSW - Medicare Clinical Social Worker in North Baldwin, NY