Dr Xavier Lopez Gonzalez, MD in Chickasha, OK

Dr Xavier Lopez Gonzalez, MD is a medicare enrolled "Pediatrics" physician in Chickasha, Oklahoma. His current practice location is 2100 W Iowa Ave, Chickasha, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 224-2100.

Dr Xavier Lopez Gonzalez is licensed to practice in California (license number A38332) 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 1518996909.

Contact Information

	Dr Xavier Lopez Gonzalez, MD
	2100 W Iowa Ave, Chickasha, OK 73018-2736
	(405) 224-2100
	(405) 779-2365

Map and Direction

Physician's Profile

Full Name	Dr Xavier Lopez Gonzalez
Gender	Male
Speciality	Pediatrics
Location	2100 W Iowa Ave, Chickasha, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518996909
Provider Enumeration Date: 06/30/2006
Last Update Date: 07/25/2019

Medicare PECOS Information:

PECOS PAC ID: 5991795049
Enrollment ID: I20170222002329

Medical Identifiers

Medical identifiers for Dr Xavier Lopez Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518996909	NPI	-	NPPES
200023140A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	11223 (Oklahoma)	Secondary
208000000X	Pediatrics	76-179 (New Mexico)	Secondary
208000000X	Pediatrics	A38332 (California)	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 Xavier Lopez Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

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 Xavier Lopez Gonzalez 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 Xavier Lopez Gonzalez, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770	Dr Xavier Lopez Gonzalez, MD 2100 W Iowa Ave, Chickasha, OK 73018-2736 Ph: (405) 224-2100

Reviews and Comments

Pediatrics Doctors in Chickasha, OK

James E Freed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-9587
Marian Pilar Escobar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-5359
Ryan Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2365
Ervin Ronald Orr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310
Barbara Ann Reilley Schmidt, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2222 West Iowa, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-9561
Dr. Bridget Diane Bryan, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2365

Dr Xavier Lopez Gonzalez, MD - Medicare Pediatrics in Chickasha, OK