Lezlie Annette Lopez, RDN, LDN is a medicare enrolled "Dietitian, Registered" provider in Florida, Pr, Puerto Rico. Her current practice location is
Carr. 665 Km. 1.4 Barrio Tosas, Florida, Pr, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(939) 585-4321.
Lezlie Annette Lopez is licensed to practice in Puerto Rico (license number 2193) 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 1255092284.
Healthcare Provider's Profile
| Full Name | Lezlie Annette Lopez |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | Carr. 665 Km. 1.4 Barrio Tosas, Florida, Pr, Puerto Rico |
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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: 1255092284
- Provider Enumeration Date: 01/03/2022
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476924408
- Enrollment ID: I20230131001335
Medical Identifiers
Medical identifiers for Lezlie Annette Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255092284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 2193 (Puerto Rico) | 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. Lezlie Annette Lopez allows following entities to bill medicare on her behalf.
| Provider Name | Centro De Servicios Primarios De Salud Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1104896190
PECOS PAC ID: 1456549005
Enrollment ID: O20101222001007 |
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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. Lezlie Annette 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 |
|---|
Lezlie Annette Lopez, RDN, LDN
Hc 3 Box 31220,
Florida, PR 00650-9515
Ph: (939) 585-4321 | Lezlie Annette Lopez, RDN, LDN
Carr. 665 Km. 1.4 Barrio Tosas,
Florida, Pr, PR 00650-9515
Ph: (939) 585-4321 |
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