Dr Inez Marie Lopez, DMD in Estancia, NM - Medicare Dentist Provider

Dr Inez Marie Lopez, DMD - Medicare Dentist in Estancia, NM

Dr Inez Marie Lopez, DMD is a medicare enrolled "Dentist" provider in Estancia, New Mexico. Her current practice location is 903 C North 5th Street, Estancia, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 384-2777.

Dr Inez Marie Lopez is licensed to practice in New Mexico (license number DD2624) 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 1245343748.

Contact Information

	Dr Inez Marie Lopez, DMD
	903 C North 5th Street, Estancia, NM 87016-0807
	(505) 384-2777
	(505) 384-2204

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Inez Marie Lopez
Gender	Female
Speciality	Dentist
Location	903 C North 5th Street, Estancia, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245343748
Provider Enumeration Date: 08/17/2006
Last Update Date: 06/17/2008

Medicare PECOS Information:

PECOS PAC ID: 0941508832
Enrollment ID: I20160408001244

Medical Identifiers

Medical identifiers for Dr Inez Marie Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245343748	NPI	-	NPPES
850206810	Other	NM	TRICARE
66726557	Medicaid	NM
DD2624	Other	NM	DELTA DENTAL
1766494	Other	NM	UNITED CONCORDIA
9179209	Other	NM	DORAL DENTAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DD2624 (New Mexico)	Primary

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. Dr Inez Marie 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
Dr Inez Marie Lopez, DMD Po Box 807, 903 C North 5th Street, Estancia, NM 87016-0807 Ph: (505) 384-2777	Dr Inez Marie Lopez, DMD 903 C North 5th Street, Estancia, NM 87016-0807 Ph: (505) 384-2777