Gerardo Casanova Lopez, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Homestead, Florida. His current practice location is
1730 Egret Rd, Homestead, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 910-8815.
Gerardo Casanova Lopez is licensed to practice in Florida (license number 11014075) 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 1962073999.
Healthcare Provider's Profile
| Full Name | Gerardo Casanova Lopez |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 1730 Egret Rd, Homestead, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962073999
- Provider Enumeration Date: 07/09/2021
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385032341
- Enrollment ID: I20211023000125
Medical Identifiers
Medical identifiers for Gerardo Casanova Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962073999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11014075 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11014075 (Florida) | 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. Gerardo Casanova Lopez allows following entities to bill medicare on his behalf.
| Entity Name | 305medical & Rehab Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1356013536
PECOS PAC ID: 9830587898
Enrollment ID: O20211023000098 |
|---|
| Entity Name | L'esthetique Medical Spa Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790438463
PECOS PAC ID: 4981098704
Enrollment ID: O20220221002323 |
|---|
| Entity Name | Maxima Medical Center Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568216422
PECOS PAC ID: 9032550488
Enrollment ID: O20240516000220 |
|---|
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. Gerardo Casanova 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 |
|---|
Gerardo Casanova Lopez,
1730 Egret Rd,
Homestead, FL 33035-1098
Ph: (305) 910-8815 | Gerardo Casanova Lopez,
1730 Egret Rd,
Homestead, FL 33035-1098
Ph: (305) 910-8815 |
Reviews and Comments