Dr Jose Miguel Lopez, MD - Medicare Internal Medicine in Denville, NJ

Dr Jose Miguel Lopez, MD is a medicare enrolled "Internal Medicine" physician in Denville, New Jersey. He graduated from medical school in 1968 and has 56 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Primary Care Partners Llc and his current practice location is 16 Pocono Rd, Suite 313, Denville, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 625-0112.

Dr Jose Miguel Lopez is licensed to practice in New Jersey (license number 25MA08397700) 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 1427150846.

Contact Information

Dr Jose Miguel Lopez, MD
16 Pocono Rd, Suite 313,
Denville, NJ 07834-2901
(973) 625-0112
(973) 625-0721

Map and Direction




Physician's Profile

Full NameDr Jose Miguel Lopez
GenderMale
SpecialityInternal Medicine
Experience56 Years
Location16 Pocono Rd, Denville, 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 Jose Miguel Lopez graduated from medical school in 1968
  NPI Data:
  • NPI Number: 1427150846
  • Provider Enumeration Date: 09/05/2006
  • Last Update Date: 02/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4789747528
  • Enrollment ID: I20090106000304

Medical Identifiers

Medical identifiers for Dr Jose Miguel Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427150846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA08397700 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Primary Care Partners Llc286066580979

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 Jose Miguel Lopez allows following entities to bill medicare on his behalf.
Entity NamePrimary Care Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083900526
PECOS PAC ID: 2860665809
Enrollment ID: O20111108000032

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 Jose Miguel 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 AddressPractice Location Address
Dr Jose Miguel Lopez, MD
Po Box 95000 Lb# 7550,
Philadelphia, PA 19195-7550

Ph: (844) 362-1735
Dr Jose Miguel Lopez, MD
16 Pocono Rd, Suite 313,
Denville, NJ 07834-2901

Ph: (973) 625-0112

Reviews and Comments


Internal Medicine Doctors in Denville, NJ

Dr. Michael Gerard Gironta, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16 Pocono Rd, Suite 313, Denville, NJ 07834
Phone: 973-625-0112    Fax: 973-625-0721
Liliana Moreno Garcia, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 25 Pocono Rd, Denville, NJ 07834
Phone: 848-245-4041    
Audrey M Hamilton, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23 Pocono Rd, Denville, NJ 07834
Phone: 646-227-3813    
Dr. Murray Las,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 56 Diamond Spring Rd, Denville, NJ 07834
Phone: 973-625-1000    Fax: 973-625-9122
Richard Finkel, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 16 Pocono Rd, Ste 209, Denville, NJ 07834
Phone: 973-625-5651    
Alan S Mufson, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16 Pocono Road, Suite 317, Denville, NJ 07834
Phone: 973-627-2650    Fax: 973-627-8383
Michael Nicolai, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16 Pocono Road, Suite 317, Denville, NJ 07834
Phone: 973-627-2650    Fax: 973-627-8383

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.