Dr Jose Luis Lopez Jr, MD | |
6913 N Main St Ste 100, Granger, IN 46530-8039 | |
(574) 647-8542 | |
(574) 647-8549 |
Full Name | Dr Jose Luis Lopez Jr |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 17 Years |
Location | 6913 N Main St Ste 100, Granger, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336352806 | NPI | - | NPPES |
201214240 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 01073464A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
Entity Name | Beacon Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose Luis Lopez Jr, MD 3245 Health Drive, Suite 100, Granger, IN 46530-3245 Ph: (574) 647-1840 | Dr Jose Luis Lopez Jr, MD 6913 N Main St Ste 100, Granger, IN 46530-8039 Ph: (574) 647-8542 |
Dr. Amer M. Kazi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6915 N Fir Rd, Granger, IN 46530 Phone: 574-234-2191 Fax: 574-231-7720 | |
Dr. Mallikarjun Patta, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11106 Birch Lake Dr, Granger, IN 46530 Phone: 574-247-0110 | |
Nadia Bowling, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St Ste 100, Granger, IN 46530 Phone: 574-647-8542 Fax: 574-647-8549 |