Mr Miguel Angel Lopez, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Colorado Springs, Colorado. His current practice location is
1400 E Boulder St Ste 2508, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 365-5221.
Mr Miguel Angel Lopez is licensed to practice in Colorado (license number CSW.09930346) 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 1841762622.
Healthcare Provider's Profile
| Full Name | Mr Miguel Angel Lopez |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1400 E Boulder St Ste 2508, Colorado Springs, Colorado |
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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: 1841762622
- Provider Enumeration Date: 12/18/2018
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608217591
- Enrollment ID: I20240509001037
Medical Identifiers
Medical identifiers for Mr Miguel Angel Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841762622 | NPI | - | NPPES |
| 05079245 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09930346 (Colorado) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001680 (Colorado) | Secondary |
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 Miguel Angel Lopez allows following entities to bill medicare on his behalf.
| Entity Name | Poudre Valley Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
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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. Mr Miguel Angel 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 Miguel Angel Lopez, LCSW, LAC
660 Southpointe Ct Ste 200,
Colorado Springs, CO 80906-3874
Ph: (719) 465-2582 | Mr Miguel Angel Lopez, LCSW, LAC
1400 E Boulder St Ste 2508,
Colorado Springs, CO 80909-5533
Ph: (719) 365-5221 |
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