Mr Noe Lopez, FNP in Fontana, CA - Medicare Nurse Practitioner

Mr Noe Lopez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fontana, California. His current practice location is 16839 Ramona Ave Ste 401, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 429-2864.

Mr Noe Lopez is licensed to practice in California (license number 95013248) 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 1962936930.

Contact Information

	Mr Noe Lopez, FNP
	16839 Ramona Ave Ste 401, Fontana, CA 92336-2014
	(909) 429-2864
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Noe Lopez
Gender	Male
Speciality	Nurse Practitioner - Family
Location	16839 Ramona Ave Ste 401, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962936930
Provider Enumeration Date: 04/17/2017
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 3274920160
Enrollment ID: I20220422002011

Medical Identifiers

Medical identifiers for Mr Noe Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962936930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WD0400X	Registered Nurse - Diabetes Educator	610082 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95013248 (California)	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 Noe Lopez allows following entities to bill medicare on his behalf.

Entity Name	Cucamonga Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497783229 PECOS PAC ID: 6709899883 Enrollment ID: O20060712000099

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 Noe 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 Noe Lopez, FNP 16839 Ramona Ave Ste 401, Fontana, CA 92336-2014 Ph: (909) 429-2864	Mr Noe Lopez, FNP 16839 Ramona Ave Ste 401, Fontana, CA 92336-2014 Ph: (909) 429-2864

Reviews and Comments

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Mr Noe Lopez, FNP - Medicare Nurse Practitioner in Fontana, CA