Dr Nicole Alexis Lopez, MD is a medicare enrolled "Family Medicine" physician in Randolph, Massachusetts. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Medical Care Of Boston Management Corporation and her current practice location is
32 S Main St Ste 100, Randolph, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 696-0022.
Dr Nicole Alexis Lopez is licensed to practice in Massachusetts (license number 277372) 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 1265808265.
Physician's Profile
Full Name | Dr Nicole Alexis Lopez |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 9 Years |
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Location | 32 S Main St Ste 100, Randolph, Massachusetts |
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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. |
Medical Education and Training:
- Dr Nicole Alexis Lopez graduated from medical school in 2015
NPI Data:
- NPI Number: 1265808265
- Provider Enumeration Date: 08/13/2015
- Last Update Date: 10/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 1153623061
- Enrollment ID: I20190111001771
Medical Identifiers
Medical identifiers for Dr Nicole Alexis Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265808265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 277372 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Medical Care Of Boston Management Corporation | 6800787714 | 246 |
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 Nicole Alexis Lopez allows following entities to bill medicare on her behalf.
Entity Name | Medical Care Of Boston Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437196359 PECOS PAC ID: 6800787714 Enrollment ID: O20040322000778 |
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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. Dr Nicole Alexis 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 |
Dr Nicole Alexis Lopez, MD 32 S Main St Ste 100, Randolph, MA 02368-4835 Ph: (617) 696-0022 | Dr Nicole Alexis Lopez, MD 32 S Main St Ste 100, Randolph, MA 02368-4835 Ph: (617) 696-0022 |
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