Ms Providencia Lopez, CRNA in Mount Holly, NJ - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Providencia Lopez, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mount Holly, New Jersey. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Delaware Anesthesia Associates Pa, Amsurg Lewes Anesthesia Llc and her current practice location is 175 Madison Ave, Mount Holly, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 261-1660.

Ms Providencia Lopez is licensed to practice in New Jersey (license number 26NJ00231500) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336175413.

Contact Information

	Ms Providencia Lopez, CRNA
	175 Madison Ave, Mount Holly, NJ 08060-2038
	(609) 261-1660
	(609) 261-4454

Map and Direction

Provider's Profile

Full Name	Ms Providencia Lopez
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	175 Madison Ave, Mount Holly, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Providencia Lopez graduated from nursing school in 2004

NPI Data:

NPI Number: 1336175413
Provider Enumeration Date: 06/23/2006
Last Update Date: 06/20/2014

Medicare PECOS Information:

PECOS PAC ID: 1052362530
Enrollment ID: I20220408001263

Medical Identifiers

Medical identifiers for Ms Providencia Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336175413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	26NR11832500 (New Jersey)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	26NJ00231500 (New Jersey)	Primary
163W00000X	Registered Nurse	26NR11832500 (New Jersey)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beebe Medical Center	Lewes, DE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Delaware Anesthesia Associates Pa	6305825894	39
Amsurg Lewes Anesthesia Llc	6507003654	6

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. Ms Providencia Lopez allows following entities to bill medicare on her behalf.

Entity Name	Delaware Anesthesia Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578618930 PECOS PAC ID: 6305825894 Enrollment ID: O20040719000033

Entity Name	Amsurg Lewes Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437497930 PECOS PAC ID: 6507003654 Enrollment ID: O20130508000349

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. Ms Providencia 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
Ms Providencia Lopez, CRNA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839	Ms Providencia Lopez, CRNA 175 Madison Ave, Mount Holly, NJ 08060-2038 Ph: (609) 261-1660

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mount Holly, NJ

Jennifer L Swope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave Fl 1, Mount Holly, NJ 08060 Phone: 609-914-6000
Brunilda Plaku, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-1660 Fax: 609-261-4454
Brenda Wong, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 175 Madison Ave Fl 1, Mount Holly, NJ 08060 Phone: 856-430-9427
Kathleen Steinberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 120 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-1160
Marian Polius-mclean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Madison Ave, Suite D, Mount Holly, NJ 08060 Phone: 609-261-1660 Fax: 609-261-1779
Doris M. Knowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Avenue, Mount Holly, NJ 08060 Phone: 609-261-1660 Fax: 609-261-4454
Rita L. Burtcel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 120 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-1160

Ms Providencia Lopez, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mount Holly, NJ