Breanna Marie Lopez, LCSW in Winston-salem, NC - Medicare Social Worker Provider

Breanna Marie Lopez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Winston-salem, North Carolina. Her current practice location is 140 Kimel Park Dr, Ste 200, Winston-salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 718-7250.

Breanna Marie Lopez is licensed to practice in North Carolina (license number C014113) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497316400.

Contact Information

	Breanna Marie Lopez, LCSW
	140 Kimel Park Dr, Ste 200, Winston-salem, NC 27103-6160
	(336) 718-7250
	(336) 718-7260

Map and Direction

Healthcare Provider's Profile

Full Name	Breanna Marie Lopez
Gender	Female
Speciality	Social Worker - Clinical
Location	140 Kimel Park Dr, Winston-salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497316400
Provider Enumeration Date: 06/21/2019
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 0143618009
Enrollment ID: I20211026000739

Medical Identifiers

Medical identifiers for Breanna Marie Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497316400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P013421 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	C014113 (North Carolina)	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. Breanna Marie Lopez allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Rha Behavioral Health Nc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700318680 PECOS PAC ID: 4688948656 Enrollment ID: O20170914003770

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. Breanna Marie 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
Breanna Marie Lopez, LCSW Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Breanna Marie Lopez, LCSW 140 Kimel Park Dr, Ste 200, Winston-salem, NC 27103-6160 Ph: (336) 718-7250

Reviews and Comments

Social Worker in Winston-salem, NC

Gregory Letourneau Ix, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 915 W 4th St, Winston-salem, NC 27101 Phone: 336-750-0130 Fax: 336-750-0073
Bryan Gregory Hatcher, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 South Hawthorne Rd., Winston-salem, NC 27157 Phone: 336-716-0858 Fax: 336-716-0822
Jennifer Cui, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3216 Cross Tree Rd, Winston-salem, NC 27106 Phone: 919-607-0324
Mr. Edward Paul Flores, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1396 Old Mill Circle, Sotile Psychological Associates, Pllc, Winston-salem, NC 27103 Phone: 336-765-3032 Fax: 336-760-6977
Ms. Berttina Labritte Duncan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Kimel Park Dr, 122q, Winston-salem, NC 27103 Phone: 336-768-3296 Fax: 336-760-5484
Jade Jennifer Larkin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 725 N Highland Ave, 2nd Floor, Winston-salem, NC 27101 Phone: 336-607-8501 Fax: 336-725-4030

Breanna Marie Lopez, LCSW - Medicare Clinical Social Worker in Winston-salem, NC