Katrina Lopez, is a
Peer Specialist based in Plattsburgh, New York. Katrina Lopez is licensed to practice in * (Not Available) (license number ) and her current practice location is
80 Sharron Ave, Plattsburgh, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 561-1447.
NPI number for Katrina Lopez is 1003439001 and her current mailing address is 79 Glenridge Rd, Glenville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003439001.
Healthcare Provider's Profile
| Full Name | Katrina Lopez |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 80 Sharron Ave, Plattsburgh, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003439001
- Provider Enumeration Date: 05/26/2020
- Last Update Date: 04/11/2022
Medical Identifiers
Medical identifiers for Katrina Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003439001 | NPI | - | NPPES |
| 01420800 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4556 (New York) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
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. Katrina Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katrina Lopez,
79 Glenridge Rd,
Glenville, NY 12302-4523
Ph: () - | Katrina Lopez,
80 Sharron Ave,
Plattsburgh, NY 12901-4700
Ph: (518) 561-1447 |
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