Jennifer Elise Lopez, MS, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Paradise, Texas. Her current practice location is
1041 Sunflower, Paradise, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 554-5708.
Jennifer Elise Lopez is licensed to practice in Texas (license number DT83661) 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 1346794286.
Healthcare Provider's Profile
| Full Name | Jennifer Elise Lopez |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1041 Sunflower, Paradise, Texas |
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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: 1346794286
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779863972
- Enrollment ID: I20161205002298
Medical Identifiers
Medical identifiers for Jennifer Elise Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346794286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT83661 (Texas) | Primary |
| 163WD0400X | Registered Nurse - Diabetes Educator | 21700275 (Texas) | 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. Jennifer Elise Lopez allows following entities to bill medicare on her behalf.
| Provider Name | Macarthur Medical Center Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326320367
PECOS PAC ID: 8426102625
Enrollment ID: O20090824000109 |
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| Provider Name | Jennifer Lopez Rd Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932970878
PECOS PAC ID: 3577908847
Enrollment ID: O20240226003503 |
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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. Jennifer Elise 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 |
|---|
Jennifer Elise Lopez, MS, RDN, LD
1041 Sunflower,
Paradise, TX 76073-3219
Ph: (682) 554-5708 | Jennifer Elise Lopez, MS, RDN, LD
1041 Sunflower,
Paradise, TX 76073-3219
Ph: (682) 554-5708 |
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