Jose Ernesto Lopez Tablas, MD - Medicare Pediatrics in Hanover, PA

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Jose Ernesto Lopez Tablas, MD is a medicare enrolled "Pediatrics" physician in Hanover, Pennsylvania. His current practice location is 300 Highland Ave, Hanover, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 316-3711.

Jose Ernesto Lopez Tablas is licensed to practice in Pennsylvania (license number MD450276) 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 1235494568.

Contact Information

Jose Ernesto Lopez Tablas, MD
300 Highland Ave,
Hanover, PA 17331-2297
(717) 316-3711
(717) 316-3049

Map and Direction




Physician's Profile

Full NameJose Ernesto Lopez Tablas
GenderMale
SpecialityPediatrics
Location300 Highland Ave, Hanover, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235494568
  • Provider Enumeration Date: 07/12/2012
  • Last Update Date: 01/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951549815
  • Enrollment ID: I20140304000130

Medical Identifiers

Medical identifiers for Jose Ernesto Lopez Tablas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235494568NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 82513 (South Carolina)Secondary
208000000XPediatrics MD158669 (Oregon)Secondary
208000000XPediatrics MD450276 (Pennsylvania)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. Jose Ernesto Lopez Tablas allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Pittsburgh Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883
Entity NameUpmc Altoona
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497831655
PECOS PAC ID: 8426962465
Enrollment ID: O20040406001094
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180
Entity NamePenn State Health Community Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861988644
PECOS PAC ID: 8729351077
Enrollment ID: O20170907002279

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. Jose Ernesto Lopez Tablas 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 AddressPractice Location Address
Jose Ernesto Lopez Tablas, MD
300 Highland Ave,
Hanover, PA 17331-2297

Ph: (717) 316-3711		Jose Ernesto Lopez Tablas, MD
300 Highland Ave,
Hanover, PA 17331-2297

Ph: (717) 316-3711

Reviews and Comments


Pediatrics Doctors in Hanover, PA

Dr. Andres Valdes-dapena, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 217 Broadway, Hanover, PA 17331
Phone: 717-632-8944    Fax: 717-632-1224
Dr. Melissa Parker Lavallee, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 217 Broadway, Hanover, PA 17331
Phone: 717-632-8944    Fax: 717-632-1224
Dr. Ahsan G. Mohar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300 Highland Ave, Hanover, PA 17331
Phone: 717-316-3711    Fax: 717-316-3049
Dr. Douglas Joseph Masucci, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 217 Broadway, Hanover, PA 17331
Phone: 717-632-8944    Fax: 717-632-1224
Beth Smith, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300 Highland Ave, Hanover, PA 17331
Phone: 717-637-3711    Fax: 717-646-6914
Dr. Kaejin Kim, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 217 Broadway, Hanover, PA 17331
Phone: 717-632-8944    Fax: 717-632-1224

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.