Josephine Lopez, is a medicare enrolled "Nurse Practitioner - Family" in Caldwell, New Jersey. Her current practice location is
485 Bloomfield Ave, Caldwell, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 931-9398.
Josephine Lopez is licensed to practice in New Jersey (license number 26NJ00837300) 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 1114407210.
Provider's Profile
| Full Name | Josephine Lopez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 485 Bloomfield Ave, Caldwell, New Jersey |
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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: 1114407210
- Provider Enumeration Date: 08/17/2018
- Last Update Date: 01/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719226356
- Enrollment ID: I20190227000027
Medical Identifiers
Medical identifiers for Josephine Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114407210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 26NJ00837300 (New Jersey) | 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. Josephine Lopez allows following entities to bill medicare on her behalf.
| Entity Name | Counseling Center At Clark Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245637578
PECOS PAC ID: 3971990144
Enrollment ID: O20220419000848 |
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| Entity Name | Medassist Nj Ii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336928407
PECOS PAC ID: 1557717428
Enrollment ID: O20231029000065 |
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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. Josephine 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 |
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Josephine Lopez,
Po Box 375,
Caldwell, NJ 07006-7509
Ph: (201) 931-9398 | Josephine Lopez,
485 Bloomfield Ave,
Caldwell, NJ 07006-5450
Ph: (201) 931-9398 |
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