Mr Michael J Lopez, CRNP (FAMILY HEALTH) is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Pennsylvania. His current practice location is
512 Dekalb St, Bridgeport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 787-8000.
Mr Michael J Lopez is licensed to practice in Pennsylvania (license number SPO23390) 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 1437744976.
Provider's Profile
| Full Name | Mr Michael J Lopez |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 512 Dekalb St, Bridgeport, Pennsylvania |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1437744976
- Provider Enumeration Date: 03/06/2021
- Last Update Date: 04/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981083680
- Enrollment ID: I20220627003215
Medical Identifiers
Medical identifiers for Mr Michael J Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437744976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | SPO23390 (Pennsylvania) | 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. Mr Michael J Lopez allows following entities to bill medicare on his behalf.
| Entity Name | Good Shepherd Rehabilitation Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1427035039
PECOS PAC ID: 9335032390
Enrollment ID: O20040301000379 |
|---|
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. Mr Michael J 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 |
|---|
Mr Michael J Lopez, CRNP (FAMILY HEALTH)
3811 Patton St,
Reading, PA 19606-2854
Ph: (717) 580-6559 | Mr Michael J Lopez, CRNP (FAMILY HEALTH)
512 Dekalb St,
Bridgeport, PA 19405-1134
Ph: (610) 787-8000 |
Reviews and Comments