Leonardo E Lopez Jr, MD is a medicare enrolled "Pediatrics" physician in Raton, New Mexico. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Miners' Colfax Medical Center and his current practice location is
203 Hospital Dr, Raton, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 303-3692.
Leonardo E Lopez Jr is licensed to practice in New Mexico (license number MD2013-0182) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831347251.
Physician's Profile
Full Name | Leonardo E Lopez Jr |
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Gender | Male |
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Speciality | Pediatric Medicine |
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Experience | 20 Years |
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Location | 203 Hospital Dr, Raton, New Mexico |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Leonardo E Lopez Jr graduated from medical school in 2004
NPI Data:
- NPI Number: 1831347251
- Provider Enumeration Date: 08/28/2008
- Last Update Date: 06/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779732276
- Enrollment ID: I20130615000028
Medical Identifiers
Medical identifiers for Leonardo E Lopez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831347251 | NPI | - | NPPES |
82527369 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD2013-0182 (New Mexico) | Secondary |
208000000X | Pediatrics | MD2013-0182 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Miners' Colfax Medical Center | 5294647400 | 18 |
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. Leonardo E Lopez Jr allows following entities to bill medicare on his behalf.
Entity Name | Miners' Colfax Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20031105000106 |
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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. Leonardo E Lopez Jr 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 |
Leonardo E Lopez Jr, MD 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 303-3692 | Leonardo E Lopez Jr, MD 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 303-3692 |
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