Carmina Lopez, in San Diego, CA - Medicare Marriage & Family Therapist Provider

Carmina Lopez, is a medicare enrolled "Marriage & Family Therapist" provider in San Diego, California. Her current practice location is 873 Grissom St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 240-0250.

Carmina Lopez is licensed to practice in California (license number IMF85747) 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 1639564396.

Contact Information

	Carmina Lopez,
	873 Grissom St, San Diego, CA 92154-2343
	(619) 240-0250
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carmina Lopez
Gender	Female
Speciality	Marriage & Family Therapist
Location	873 Grissom St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639564396
Provider Enumeration Date: 03/31/2015
Last Update Date: 03/31/2015

Medicare PECOS Information:

PECOS PAC ID: 5597100263
Enrollment ID: I20240304003235

Medical Identifiers

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

Identifier	Type	State	Issuer
1639564396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	IMF85747 (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. Carmina Lopez allows following entities to bill medicare on her behalf.

Entity Name	Vanessa Villasenor Licensed Marriage And Family Therapist Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083198782 PECOS PAC ID: 4486067618 Enrollment ID: O20231025002476

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. Carmina 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
Carmina Lopez, 873 Grissom St, San Diego, CA 92154-2343 Ph: (619) 240-0250	Carmina Lopez, 873 Grissom St, San Diego, CA 92154-2343 Ph: (619) 240-0250

Reviews and Comments

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Carmina Lopez, - Medicare Couples Therapy in San Diego, CA