Malorie Layne Lopez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bentonville, Arkansas. Her current practice location is
2205 Phyllis St, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 725-6000.
Malorie Layne Lopez is licensed to practice in * (Not Available) (license number ) 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 1619323508.
Healthcare Provider's Profile
| Full Name | Malorie Layne Lopez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2205 Phyllis St, Bentonville, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619323508
- Provider Enumeration Date: 05/10/2016
- Last Update Date: 03/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921464843
- Enrollment ID: I20230519000625
Medical Identifiers
Medical identifiers for Malorie Layne Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619323508 | NPI | - | NPPES |
| 292288719 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Malorie Layne Lopez allows following entities to bill medicare on her behalf.
| Entity Name | Ozark Guidance Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609875186
PECOS PAC ID: 7214833730
Enrollment ID: O20031208000380 |
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| Entity Name | Arisa Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437750411
PECOS PAC ID: 2264853829
Enrollment ID: O20230508000555 |
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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. Malorie Layne 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 |
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Malorie Layne Lopez, LCSW
2400 S 48th St,
Springdale, AR 72762-6683
Ph: (479) 750-2020 | Malorie Layne Lopez, LCSW
2205 Phyllis St,
Bentonville, AR 72712-6490
Ph: (479) 725-6000 |
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