Susan Lopez, LMFT in Flagstaff, AZ - Medicare Counselor Provider

Susan Lopez, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Flagstaff, Arizona. Her current practice location is 4343 E Soliere Ave Apt 1004, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (224) 622-8033.

Susan Lopez is licensed to practice in California (license number 134660) 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 1780306621.

Contact Information

	Susan Lopez, LMFT
	4343 E Soliere Ave Apt 1004, Flagstaff, AZ 86004-7945
	(224) 622-8033
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Lopez
Gender	Female
Speciality	Counselor - Mental Health
Location	4343 E Soliere Ave Apt 1004, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780306621
Provider Enumeration Date: 09/16/2022
Last Update Date: 09/16/2022

Medicare PECOS Information:

PECOS PAC ID: 4082053012
Enrollment ID: I20240423002929

Medical Identifiers

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

Identifier	Type	State	Issuer
1780306621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	134660 (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. Susan Lopez allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20220404000301

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. Susan 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
Susan Lopez, LMFT 4343 E Soliere Ave Apt 1004, Flagstaff, AZ 86004-7945 Ph: () -	Susan Lopez, LMFT 4343 E Soliere Ave Apt 1004, Flagstaff, AZ 86004-7945 Ph: (224) 622-8033

Reviews and Comments

Counselor in Flagstaff, AZ

Dunya Cope, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 N Humphreys St, Flagstaff, AZ 86001 Phone: 928-864-5024
Joe Rauschenbach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Silver Saddle Rd, Flagstaff, AZ 86004 Phone: 928-527-3873 Fax: 928-526-8985
Marilyn Mcnabb, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 N. 4th Street, Flagstaff, AZ 86003 Phone: 928-635-4441
Mr. James Michael Powers, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 N Bonito St, Flagstaff, AZ 86001 Phone: 928-773-8150
Mr. Bruce Orrian Steele, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 3285 E Sparrow Ave, Flagstaff, AZ 86004 Phone: 928-773-4110
Ann Marie Claw, JD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 N San Francisco St Ste 206, Flagstaff, AZ 86001 Phone: 520-349-6086
Lindsay Kresch, LAC-20471 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3485 Ne Rainier Loop, Flagstaff, AZ 86004 Phone: 415-416-4231

Susan Lopez, LMFT - Medicare Counselor in Flagstaff, AZ