Miss Michelle Lopez, LCSW is a medicare enrolled "Social Worker" provider in Los Angeles, California. Her current practice location is
221 N Ardmore Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 381-3626.
Miss Michelle Lopez is licensed to practice in California (license number LCSW115922) 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 1891163762.
Healthcare Provider's Profile
| Full Name | Miss Michelle Lopez |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 221 N Ardmore Ave, Los Angeles, California |
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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: 1891163762
- Provider Enumeration Date: 09/09/2015
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557719994
- Enrollment ID: I20231127001116
Medical Identifiers
Medical identifiers for Miss Michelle Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891163762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW71814 (California) | Secondary |
| 104100000X | Social Worker | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | LCSW115922 (California) | 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. Miss Michelle Lopez allows following entities to bill medicare on her behalf.
| Entity Name | Didi Hirsch Psychiatric Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730299959
PECOS PAC ID: 3870537194
Enrollment ID: O20050616000752 |
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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. Miss Michelle 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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Miss Michelle Lopez, LCSW
4760 Sepulveda Blvd,
Culver City, CA 90230-4820
Ph: (310) 390-6612 | Miss Michelle Lopez, LCSW
221 N Ardmore Ave,
Los Angeles, CA 90004-4503
Ph: (213) 381-3626 |
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