Dr Daniel Candelario Lopez, MD | |
5440 Hillandale Dr, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058-4865 | |
(770) 322-2777 | |
Not Available |
Full Name | Dr Daniel Candelario Lopez |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 18 Years |
Location | 5440 Hillandale Dr, Lithonia, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821296997 | NPI | - | NPPES |
769875211A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 140922 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 064597 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 660 |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Candelario Lopez, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070 | Dr Daniel Candelario Lopez, MD 5440 Hillandale Dr, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058-4865 Ph: (770) 322-2777 |
Dr. Eric Wilson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5440 Hillandale Dr, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2777 Fax: 706-549-5981 | |
Dr. Clarice Marijetta Bell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058 Phone: 770-322-9660 Fax: 770-322-1981 | |
Martin A Dixon, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 8225 Mall Pkwy, Suite 100, Lithonia, GA 30038 Phone: 770-981-2100 Fax: 770-808-8445 | |
Itauma Udosen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2745 Dekalb Medical Pkwy Ste 110, Lithonia, GA 30058 Phone: 770-593-2382 Fax: 678-514-2527 | |
Jerome D. Homish, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7231 Rockbridge Rd, Lithonia, GA 30058 Phone: 678-710-9270 Fax: 470-365-2880 | |
Dr. Gregory O Zakers, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5910 Hillandale Dr, Lithonia, GA 30058 Phone: 404-501-8733 | |
Dr. Vivin Mathew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8000 |