Gretchan B Lopez, DO in Tahlequah, OK

Gretchan B Lopez, DO is a medicare enrolled "Pediatrics" physician in Tahlequah, Oklahoma. Her current practice location is 19600 E Ross St, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (539) 234-1000.

Gretchan B Lopez is licensed to practice in Oklahoma (license number 7394) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629605258.

Contact Information

	Gretchan B Lopez, DO
	19600 E Ross St, Tahlequah, OK 74464-0545
	(539) 234-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Gretchan B Lopez
Gender	Female
Speciality	Pediatrics
Location	19600 E Ross St, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629605258
Provider Enumeration Date: 03/24/2020
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6901269653
Enrollment ID: I20230828003276

Medical Identifiers

Medical identifiers for Gretchan B Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629605258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	7394 (Oklahoma)	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. Gretchan B Lopez allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Gretchan B 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
Gretchan B Lopez, DO 19600 E Ross St, Tahlequah, OK 74464-0545 Ph: (539) 234-1000	Gretchan B Lopez, DO 19600 E Ross St, Tahlequah, OK 74464-0545 Ph: (539) 234-1000

Reviews and Comments

Pediatrics Doctors in Tahlequah, OK

Dr. Elaine Kennedy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Pediatrics Clinic, Tahlequah, OK 74464 Phone: 918-458-3120
Dr. Gary Lynn Gaston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700
Megan Melott Moss, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 Fax: 918-458-9314
Dr. Kimberly Ann Milford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Downing St Ste 102, Tahlequah, OK 74464 Phone: 918-207-0773 Fax: 918-207-0774
Angel Javier Morales, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3279
Edward Ernest Gustavson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 Fax: 918-458-9314
Mrs. Kailey Madison Haley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000

Gretchan B Lopez, DO - Medicare Pediatrics in Tahlequah, OK