Tiffany Lori Lopez, MSW, LICSW in Newburgh, IN - Medicare Social Worker Provider

Tiffany Lori Lopez, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Newburgh, Indiana. Her current practice location is 4961 Overland Dr, Newburgh, Indiana. You can reach out to her office (for appointments etc.) via phone at (320) 406-7608.

Tiffany Lori Lopez is licensed to practice in Indiana (license number 34011719A) 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 1679094429.

Contact Information

	Tiffany Lori Lopez, MSW, LICSW
	4961 Overland Dr, Newburgh, IN 47630-8711
	(320) 406-7608
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Lori Lopez
Gender	Female
Speciality	Social Worker - Clinical
Location	4961 Overland Dr, Newburgh, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679094429
Provider Enumeration Date: 07/02/2017
Last Update Date: 03/17/2025

Medicare PECOS Information:

PECOS PAC ID: 6800215757
Enrollment ID: I20200928001019

Medical Identifiers

Medical identifiers for Tiffany Lori Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679094429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	61366170 (Washington)	Secondary
1041C0700X	Social Worker - Clinical	11166-C (Nevada)	Secondary
1041C0700X	Social Worker - Clinical	8691 (Tennessee)	Secondary
1041C0700X	Social Worker - Clinical	34011719A (Indiana)	Primary
1041C0700X	Social Worker - Clinical	26671 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	21642 (Maine)	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. Tiffany Lori Lopez allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874

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. Tiffany Lori 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
Tiffany Lori Lopez, MSW, LICSW 4961 Overland Dr, Newburgh, IN 47630-8711 Ph: (320) 406-7608	Tiffany Lori Lopez, MSW, LICSW 4961 Overland Dr, Newburgh, IN 47630-8711 Ph: (320) 406-7608

Reviews and Comments

Social Worker in Newburgh, IN

Sarah Elizabeth Audu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5492 Camden Dr, Newburgh, IN 47630 Phone: 812-787-0485
Mrs. Jean Marie Zelenko, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 State St Ste B, Newburgh, IN 47630 Phone: 812-598-3959 Fax: 812-598-3959
Mrs. Crystal Glover, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5155 Rosebud Ln, Newburgh, IN 47630 Phone: 812-773-8321 Fax: 812-993-1846
Natalie Daniel, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 State St Ste B, Newburgh, IN 47630 Phone: 859-866-6710
Julia Doane, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4466 State Route 261 Ste 1, Newburgh, IN 47630 Phone: 812-490-2100 Fax: 812-220-2233
Payton L Cox, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4488 Roslin Rd, Newburgh, IN 47630 Phone: 812-858-7200
Megan K Hemmerle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5155 Rosebud Ln, Newburgh, IN 47630 Phone: 812-773-8321 Fax: 812-961-6546

Tiffany Lori Lopez, MSW, LICSW - Medicare Clinical Social Worker in Newburgh, IN