Dr Omar Jose Pena Lopez, MD is a medicare enrolled "Pediatrics" physician in Elsa, Texas. His current practice location is
410 South Broadway, Elsa, Texas. You can reach out to his office (for appointments etc.) via phone at
(956) 262-9805.
Dr Omar Jose Pena Lopez is licensed to practice in Texas (license number N1058) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619149762.
Physician's Profile
Full Name | Dr Omar Jose Pena Lopez |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 410 South Broadway, Elsa, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619149762
- Provider Enumeration Date: 03/28/2008
- Last Update Date: 02/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 2365505310
- Enrollment ID: I20090116000382
Medical Identifiers
Medical identifiers for Dr Omar Jose Pena Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619149762 | NPI | - | NPPES |
201687501 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | N1058 (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. Dr Omar Jose Pena Lopez allows following entities to bill medicare on his behalf.
Entity Name | Children's Physician Services Of South Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
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Entity Name | Driscoll Valley Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780634766 PECOS PAC ID: 3476511213 Enrollment ID: O20041228000281 |
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Entity Name | Mcallen Hospitalist Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356361976 PECOS PAC ID: 9830113836 Enrollment ID: O20060117001076 |
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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 Omar Jose Pena 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 Omar Jose Pena Lopez, MD 410 South Broadway, Elsa, TX 78543-0000 Ph: (956) 262-9805 | Dr Omar Jose Pena Lopez, MD 410 South Broadway, Elsa, TX 78543-0000 Ph: (956) 262-9805 |
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