Tracy Lee Lopez, DMD in Titusville, FL - Medicare Dentist Provider

Tracy Lee Lopez, DMD is a medicare enrolled "Dentist" provider in Titusville, Florida. Her current practice location is 3135 Columbia Blvd, Suite 101, Titusville, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 567-2000.

Tracy Lee Lopez is licensed to practice in Florida (license number DN20647) 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 1184037277.

Contact Information

	Tracy Lee Lopez, DMD
	3135 Columbia Blvd, Suite 101, Titusville, FL 32803
	(321) 567-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Lee Lopez
Gender	Female
Speciality	Dentist
Location	3135 Columbia Blvd, Suite 101, Titusville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184037277
Provider Enumeration Date: 06/05/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2668751496
Enrollment ID: I20230608000303

Medical Identifiers

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

Identifier	Type	State	Issuer
1184037277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN20647 (Florida)	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. Tracy Lee Lopez allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518945187 PECOS PAC ID: 9739082520 Enrollment ID: O20040129000462

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. Tracy Lee 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
Tracy Lee Lopez, DMD 3135 Columbia Blvd, Suite 101, Titusville, FL 32803 Ph: (321) 567-2000	Tracy Lee Lopez, DMD 3135 Columbia Blvd, Suite 101, Titusville, FL 32803 Ph: (321) 567-2000

Reviews and Comments

Dentist in Titusville, FL

Dr. Jeffrey Allen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1490 Cheney Hwy, Titusville, FL 32780 Phone: 321-267-3304
Dr. Gary L Torres, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2185 Cheney Hwy, Suite B, Titusville, FL 32780 Phone: 321-267-9947 Fax: 321-267-3848
Dr. Anitha Prasanna, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1490 Cheney Hwy, Titusville, FL 32780 Phone: 321-267-3304 Fax: 321-267-9191
Dr. William Ocell Shumpert Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2885 Player Ct, Titusville, FL 32780 Phone: 954-560-2094
Dr. Gary Cardoso, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 815 Cheney Hwy, Titusville, FL 32780 Phone: 321-268-0108
Dr. Walter F Zoller, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 796 Florencia Circle, Titusville, FL 32780 Phone: 321-223-6829

Tracy Lee Lopez, DMD - Medicare Dentist in Titusville, FL