Nicole Samira Lopez, - Medicare Emergency Medicine in Augusta, GA

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Nicole Samira Lopez, is a medicare enrolled "Emergency Medicine" physician in Augusta, Georgia. Her current practice location is 1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 721-4951.

Nicole Samira Lopez is licensed to practice in Georgia (license number 11945) 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 1528525409.

Contact Information

Nicole Samira Lopez,
1120 15th St,
Augusta, GA 30912-1000
(706) 721-4951
Not Available

Map and Direction




Physician's Profile

Full NameNicole Samira Lopez
GenderFemale
SpecialityEmergency Medicine
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528525409
  • Provider Enumeration Date: 02/27/2019
  • Last Update Date: 07/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507217502
  • Enrollment ID: I20240103003731

Medical Identifiers

Medical identifiers for Nicole Samira Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528525409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 11945 (Georgia)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. Nicole Samira Lopez allows following entities to bill medicare on her behalf.
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20040901000766
Entity NameAu Medical Associates Emergency Medicine Billing Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982089777
PECOS PAC ID: 3072823186
Enrollment ID: O20151102001458

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. Nicole Samira 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 AddressPractice Location Address
Nicole Samira Lopez,
1120 15th St,
Augusta, GA 30912-0004

Ph: (067) 721-4951		Nicole Samira Lopez,
1120 15th St,
Augusta, GA 30912-1000

Ph: (706) 721-4951

Reviews and Comments


Emergency Medicine Doctors in Augusta, GA

Stephen A. Shiver, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-4951    Fax: 706-721-7941
Dr. Anuj Pankaj Jani, BMBS
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-0211    
Sunita Jena, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-2613    
Dr. Joshua Berk,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 603-988-9611    
Jedidiah Amos Ballard, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-724-6100    
Richard B. Schwartz, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-4951    Fax: 706-721-7941
Dr. John Stanley Oester, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3651 Wheeler Road, Augusta, GA 30909
Phone: 706-651-2369    Fax: 706-651-2364

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.