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

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 NameMs Providencia Lopez
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location175 Madison Ave, Mount Holly, New Jersey
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1336175413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 26NR11832500 (New Jersey)Secondary
367500000XNurse Anesthetist, Certified Registered 26NJ00231500 (New Jersey)Primary
163W00000XRegistered Nurse 26NR11832500 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beebe Medical CenterLewes, DEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Delaware Anesthesia Associates Pa630582589439
Amsurg Lewes Anesthesia Llc65070036546

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 NameDelaware Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578618930
PECOS PAC ID: 6305825894
Enrollment ID: O20040719000033
Entity NameAmsurg Lewes Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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
Julie Le, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 175 Madison Ave Fl 1, Mount Holly, NJ 08060
Phone: 609-914-6000    
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.