Miguel Lopez, in Monroe, LA - Medicare Family Medicine

Miguel Lopez, is a medicare enrolled "Family Medicine - Sports Medicine" physician in Monroe, Louisiana. His current practice location is 4864 Jackson St, Monroe, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 330-7000.

Miguel Lopez is licensed to practice in Louisiana (license number 338082) 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 1316471303.

Contact Information

	Miguel Lopez,
	4864 Jackson St, Monroe, LA 71202-6400
	(318) 330-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Miguel Lopez
Gender	Male
Speciality	Family Medicine - Sports Medicine
Location	4864 Jackson St, Monroe, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316471303
Provider Enumeration Date: 04/17/2017
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0042547473
Enrollment ID: I20230911000314

Medical Identifiers

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

Identifier	Type	State	Issuer
1316471303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	338082 (Louisiana)	Secondary
207QS0010X	Family Medicine - Sports Medicine	338082 (Louisiana)	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. Miguel Lopez allows following entities to bill medicare on his behalf.

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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. Miguel 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
Miguel Lopez, 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287	Miguel Lopez, 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7000

Reviews and Comments

Family Medicine Doctors in Monroe, LA

Dr. Oladapo Lapite, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 Stone Ave, Monroe, LA 71201 Phone: 318-323-1040 Fax: 318-323-1134
David L. Barnes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694
Dr. James Dean Stockstill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131
Dr. Tobe Samuel Momah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-388-0948
Dr. Madelyn H Corkern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Oliver Rd # A, Monroe, LA 71201 Phone: 318-807-4951 Fax: 318-812-0808
Mr. Michael T Hayward Sr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr, Suite B, Monroe, LA 71203 Phone: 318-387-6803 Fax: 318-387-6874
Donald Newton Givler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648

Miguel Lopez, - Medicare Family Medicine in Monroe, LA