Dr Joao A Lopes, MD - Medicare General Surgery in West Orange, NJ

Dr Joao A Lopes, MD is a medicare enrolled "Surgery" physician in West Orange, New Jersey. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Summit Medical Group Pa and his current practice location is 375 Mount Pleasant Ave, West Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 731-7707.

Dr Joao A Lopes is licensed to practice in New Jersey (license number 25MA07899500) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043268378.

Contact Information

Dr Joao A Lopes, MD
375 Mount Pleasant Ave,
West Orange, NJ 07052-2750
(973) 731-7707
(973) 232-2301

Map and Direction




Physician's Profile

Full NameDr Joao A Lopes
GenderMale
SpecialityGeneral Surgery
Experience25 Years
Location375 Mount Pleasant Ave, West Orange, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Joao A Lopes graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1043268378
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 05/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1557396140
  • Enrollment ID: I20051026000291

Medical Identifiers

Medical identifiers for Dr Joao A Lopes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043268378NPI-NPPES
0089931MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 25MA07899500 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlook Medical CenterSummit, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761247

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. Dr Joao A Lopes allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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. Dr Joao A Lopes 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 AddressPractice Location Address
Dr Joao A Lopes, MD
375 Mount Pleasant Ave,
West Orange, NJ 07052-2750

Ph: (973) 731-7707
Dr Joao A Lopes, MD
375 Mount Pleasant Ave,
West Orange, NJ 07052-2750

Ph: (973) 731-7707

Reviews and Comments


Surgery Doctors in West Orange, NJ

Dr. A Peter Salas, MD, FACS, FACM
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Medicare: Accepting Medicare Assignments
Practice Location: 101 Old Short Hills Rd, Suite 501, West Orange, NJ 07052
Phone: 973-731-2000    
Steven M. Hertz, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Pleasant Valley Way, Suite 302, West Orange, NJ 07052
Phone: 973-324-0988    Fax: 973-324-1064
Vivek Maheshwari, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 101 Old Short Hills Rd, Suite 206, West Orange, NJ 07052
Phone: 973-731-5005    Fax: 973-325-6230
Dr. Patrick Kung Sun Chang, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 101 Old Short Hills Rd, Suite 206, West Orange, NJ 07052
Phone: 973-731-5005    Fax: 973-325-6230
Gregory Pinkowsky, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Pleasant Valley Way, West Orange, NJ 07052
Phone: 973-669-5600    Fax: 973-669-0269
Dr. Manoj Singh, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 101 Old Short Hills Road Suite 206, West Orange, NJ 07052
Phone: 973-731-5005    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.