Marissa Ann Lopez, NP | |
500 W Votaw St Ste A, Portland, IN 47371-1322 | |
(260) 726-4350 | |
(260) 726-9340 |
Full Name | Marissa Ann Lopez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 500 W Votaw St Ste A, Portland, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669117370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28212155A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71012622A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meridian Health Services Corp | 5597679845 | 47 |
Entity Name | Meridian Health Services Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
Mailing Address | Practice Location Address |
---|---|
Marissa Ann Lopez, NP 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928 | Marissa Ann Lopez, NP 500 W Votaw St Ste A, Portland, IN 47371-1322 Ph: (260) 726-4350 |
Mrs. Heather Ann Masters, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975 | |
Kerry M Torres, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822 | |
Danielle Thompson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312 Fax: 260-703-3313 | |
Alice Odelia Bruggeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 West Votaw Street, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 | |
Anne Hardesty, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-2313 | |
Kayla Marie Melton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Votaw St, Portland, IN 47371 Phone: 765-288-1928 | |
Carrie Elizabeth Baldwin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 428 W Votaw St, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 |