Dr Brian Roberto Lopez, PSYD in Los Angeles, CA - Medicare Psychologist Provider

Dr Brian Roberto Lopez, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. His current practice location is 3580 Wilshire Blvd Ste 2000, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 381-1250.

Dr Brian Roberto Lopez is licensed to practice in California (license number 34006) 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 1861109522.

Contact Information

	Dr Brian Roberto Lopez, PSYD
	3580 Wilshire Blvd Ste 2000, Los Angeles, CA 90010-2533
	(213) 381-1250
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brian Roberto Lopez
Gender	Male
Speciality	Psychologist - Clinical
Location	3580 Wilshire Blvd Ste 2000, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861109522
Provider Enumeration Date: 11/02/2022
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5890154025
Enrollment ID: I20230706003226

Medical Identifiers

Medical identifiers for Dr Brian Roberto Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861109522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	34006 (California)	Primary
103T00000X	Psychologist	(* (Not Available))	Secondary

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. Dr Brian Roberto Lopez allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Dr Brian Roberto 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
Dr Brian Roberto Lopez, PSYD 2001 Junipero Serra Blvd, Daly City, CA 94014-3891 Ph: (650) 991-6200	Dr Brian Roberto Lopez, PSYD 3580 Wilshire Blvd Ste 2000, Los Angeles, CA 90010-2533 Ph: (213) 381-1250

Reviews and Comments

Psychologist in Los Angeles, CA

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Dr. Adam Vogel, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400

Dr Brian Roberto Lopez, PSYD - Medicare Psychologist in Los Angeles, CA