Mr Jose D Lopez, INTERN in Salt Lake City, UT - Medicare Social Worker Provider

Mr Jose D Lopez, INTERN is a medicare enrolled "Social Worker - Clinical" provider in Salt Lake City, Utah. His current practice location is 344 E 100 S Ste 301, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 322-4257.

Mr Jose D Lopez is licensed to practice in * (Not Available) (license number ) 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 1699100081.

Contact Information

	Mr Jose D Lopez, INTERN
	344 E 100 S Ste 301, Salt Lake City, UT 84111-1727
	(801) 322-4257
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jose D Lopez
Gender	Male
Speciality	Social Worker - Clinical
Location	344 E 100 S Ste 301, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699100081
Provider Enumeration Date: 09/05/2013
Last Update Date: 09/05/2013

Medicare PECOS Information:

PECOS PAC ID: 3577934843
Enrollment ID: I20230124002489

Medical Identifiers

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

Identifier	Type	State	Issuer
1699100081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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 Jose D Lopez allows following entities to bill medicare on his behalf.

Entity Name	Dynamic Psychiatry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679225536 PECOS PAC ID: 0840667614 Enrollment ID: O20221108000708

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 Jose D 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 Jose D Lopez, INTERN 1443 W Stewart Cir, Salt Lake City, UT 84104-3445 Ph: (801) 977-9798	Mr Jose D Lopez, INTERN 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 Ph: (801) 322-4257

Reviews and Comments

Social Worker in Salt Lake City, UT

Mr. Glen Ray Lambert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1361 Rebecca Cir, Salt Lake City, UT 84117 Phone: 801-272-7742 Fax: 801-322-2831
Mr. Mark Lynn Duke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 South State, Suite 200, Salt Lake City, UT 84111 Phone: 801-240-3556
Kristine Louise Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Va Slc, 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Dr. Joel L Millard, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 E 700 S, Salt Lake City, UT 84111 Phone: 801-364-8080 Fax: 801-364-8098
Matthew Kael Nisson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100
Michael Keith Slade, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2872 S Highland Dr, Salt Lake City, UT 84106 Phone: 801-485-8051
Laura Marie Baumgart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1390 S 1100 E Ste 204, Salt Lake City, UT 84105 Phone: 734-306-1279

Mr Jose D Lopez, INTERN - Medicare Clinical Social Worker in Salt Lake City, UT