Susan Marie Lopez, RD in Hyattsville, MD - Medicare Dietitian, Registered Provider

Susan Marie Lopez, RD is a medicare enrolled "Dietitian, Registered" provider in Hyattsville, Maryland. Her current practice location is 4301 Garden City Dr Ste 304, Hyattsville, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 235-0600.

Susan Marie Lopez is licensed to practice in Texas (license number DT84625) 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 1588219059.

Contact Information

	Susan Marie Lopez, RD
	4301 Garden City Dr Ste 304, Hyattsville, MD 20785-6105
	(301) 235-0600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Marie Lopez
Gender	Female
Speciality	Dietitian, Registered
Location	4301 Garden City Dr Ste 304, Hyattsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588219059
Provider Enumeration Date: 08/01/2019
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5395195242
Enrollment ID: I20231219002379

Medical Identifiers

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

Identifier	Type	State	Issuer
1588219059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DX6355 (Maryland)	Secondary
133V00000X	Dietitian, Registered	DT84625 (Texas)	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. Susan Marie Lopez allows following entities to bill medicare on her behalf.

Provider Name	Wellness Source Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780031724 PECOS PAC ID: 2668751454 Enrollment ID: O20161118000825

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. Susan 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
Susan Marie Lopez, RD 13715 Midfield Glen Ct, Houston, TX 77059-3506 Ph: (281) 832-9811	Susan Marie Lopez, RD 4301 Garden City Dr Ste 304, Hyattsville, MD 20785-6105 Ph: (301) 235-0600

Reviews and Comments

Dietitian, Registered in Hyattsville, MD

Your Wellness Sources Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4301 Garden City Dr Ste 304, Hyattsville, MD 20785 Phone: 301-235-0060
Kathryn Claire Lopez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4301 Garden City Dr Ste 304, Hyattsville, MD 20785 Phone: 240-324-7720
Hirut Yimer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3802 Warner Ave, Hyattsville, MD 20784 Phone: 703-992-5299
Mr. Jeffrey Earl Brown Jr., REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6506 America Blvd, Unit 605, Hyattsville, MD 20782 Phone: 301-841-5299
Rujin Huang, RD,LDN,CDR Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3950 Garden City Dr Apt 427, Hyattsville, MD 20785 Phone: 646-575-8867
Ms. Chauntelle Gisele Jack-roberts, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333

Susan Marie Lopez, RD - Medicare Dietitian in Hyattsville, MD