Maritza Lopez, MD is a medicare enrolled "Internal Medicine" physician in Canby, Minnesota. Her current practice location is
112 Saint Olaf Ave S, Canby, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 223-7277.
Maritza Lopez is licensed to practice in Minnesota (license number 36354) 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 1598777948.
Physician's Profile
| Full Name | Maritza Lopez |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 112 Saint Olaf Ave S, Canby, Minnesota |
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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: 1598777948
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 03/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648312009
- Enrollment ID: I20100122000393
Medical Identifiers
Medical identifiers for Maritza Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598777948 | NPI | - | NPPES |
| 053823000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 36354 (Minnesota) | 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. Maritza Lopez allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699869875
PECOS PAC ID: 6800707100
Enrollment ID: O20040715001116 |
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| Entity Name | Sanford Health Network |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1780781054
PECOS PAC ID: 6800707100
Enrollment ID: O20061213000244 |
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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. Maritza 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 |
|---|
Maritza Lopez, MD
112 Saint Olaf Ave S,
Canby, MN 56220-1433
Ph: (507) 223-7277 | Maritza Lopez, MD
112 Saint Olaf Ave S,
Canby, MN 56220-1433
Ph: (507) 223-7277 |
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