Edglis Lopez Sotolongo, APRN is a medicare enrolled "Behavior Analyst" in Miami, Florida. His current practice location is
3448 Nw 79th St, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(855) 226-6633.
Edglis Lopez Sotolongo is licensed to practice in Florida (license number 1-24-74918) 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 1851860548.
Provider's Profile
| Full Name | Edglis Lopez Sotolongo |
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| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 3448 Nw 79th St, Miami, Florida |
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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: 1851860548
- Provider Enumeration Date: 11/25/2018
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820323082
- Enrollment ID: I20190710001206
Medical Identifiers
Medical identifiers for Edglis Lopez Sotolongo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851860548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11000084 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | 1-24-74918 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APRN11000084 (Florida) | Secondary |
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. Edglis Lopez Sotolongo allows following entities to bill medicare on his behalf.
| Entity Name | Cano Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689901688
PECOS PAC ID: 1759565047
Enrollment ID: O20110411000829 |
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| Entity Name | University Of Miami |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013967827
PECOS PAC ID: 3274795109
Enrollment ID: O20200406001006 |
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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. Edglis Lopez Sotolongo 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 |
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Edglis Lopez Sotolongo, APRN
6822 W 2nd Ct,
Hialeah, FL 33014-5302
Ph: (786) 609-1910 | Edglis Lopez Sotolongo, APRN
3448 Nw 79th St,
Miami, FL 33147-4602
Ph: (855) 226-6633 |
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