Jennifer Sue Lopez, ARNP is a medicare enrolled "General Practice" physician in Cedar Rapids, Iowa. Her current practice location is
947 14th Ave Se, Cedar Rapids, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 363-0416.
Jennifer Sue Lopez is licensed to practice in Iowa (license number H175490) 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 1396425047.
Physician's Profile
| Full Name | Jennifer Sue Lopez |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 947 14th Ave Se, Cedar Rapids, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396425047
- Provider Enumeration Date: 07/18/2023
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103272406
- Enrollment ID: I20231023002305
Medical Identifiers
Medical identifiers for Jennifer Sue Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396425047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | H175490 (Iowa) | 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. Jennifer Sue Lopez allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Physician Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427254952
PECOS PAC ID: 1355242496
Enrollment ID: O20040120000805 |
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| Entity Name | Mercycare Management, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467659268
PECOS PAC ID: 2466343363
Enrollment ID: O20040322000692 |
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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. Jennifer Sue 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 |
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Jennifer Sue Lopez, ARNP
1865 Valentine Dr,
Marion, IA 52302-8904
Ph: (319) 440-0808 | Jennifer Sue Lopez, ARNP
947 14th Ave Se,
Cedar Rapids, IA 52401-2610
Ph: (319) 363-0416 |
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