Mirella Guzman Lopez, CDE is a medicare enrolled "Dietitian, Registered" provider in Citrus Heights, California. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Dignity Health Medical Foundation and her current practice location is
7115 Greenback Ln, Fl 2, Citrus Heights, California. You can reach out to her office (for appointments etc.) via phone at
(916) 733-5798.
Mirella Guzman Lopez is licensed to practice in California (license number 1087324) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518492230.
Healthcare Provider's Profile
| Full Name | Mirella Guzman Lopez |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 15 Years |
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| Location | 7115 Greenback Ln, Citrus Heights, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mirella Guzman Lopez graduated from medical school in 2009
NPI Data:
- NPI Number: 1518492230
- Provider Enumeration Date: 05/01/2017
- Last Update Date: 10/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557636479
- Enrollment ID: I20171003006121
Medical Identifiers
Medical identifiers for Mirella Guzman Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518492230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1087324 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dignity Health Medical Foundation | 7810800661 | 1199 |
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. Mirella Guzman Lopez allows following entities to bill medicare on her behalf.
| Provider Name | Dignity Health Medical Foundation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700803418
PECOS PAC ID: 7810800661
Enrollment ID: O20031107000709 |
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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. Mirella Guzman 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 |
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Mirella Guzman Lopez, CDE
3400 Data Dr,
Rancho Cordova, CA 95670-7956
Ph: () - | Mirella Guzman Lopez, CDE
7115 Greenback Ln, Fl 2,
Citrus Heights, CA 95621-6133
Ph: (916) 733-5798 |
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