Mr Eric Edwards Lopez, is a medicare enrolled "Psychologist - Clinical" provider in Fresno, California. His current practice location is
83 E Shaw Ave Ste 102, Fresno, California. You can reach out to his office (for appointments etc.) via phone at
(559) 226-0167.
Mr Eric Edwards Lopez is licensed to practice in Florida (license number PY10006) 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 1891976882.
Healthcare Provider's Profile
| Full Name | Mr Eric Edwards Lopez |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 83 E Shaw Ave Ste 102, Fresno, California |
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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: 1891976882
- Provider Enumeration Date: 11/18/2007
- Last Update Date: 09/29/2017
Medicare PECOS Information:
- PECOS PAC ID: 3173884517
- Enrollment ID: I20180228001789
Medical Identifiers
Medical identifiers for Mr Eric Edwards Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891976882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY10006 (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. Mr Eric Edwards Lopez allows following entities to bill medicare on his behalf.
| Entity Name | Mental Health Center Of Florida Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679021414
PECOS PAC ID: 9931485117
Enrollment ID: O20170425000910 |
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| Entity Name | Transformative Healthcare Solutions Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477114031
PECOS PAC ID: 8921337973
Enrollment ID: O20190917001257 |
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| Entity Name | Mental Health Solutions Of South Florida Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194344564
PECOS PAC ID: 0345671673
Enrollment ID: O20200520002119 |
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| Entity Name | Quality Bhs Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689297541
PECOS PAC ID: 4082030721
Enrollment ID: O20200812002561 |
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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. Mr Eric Edwards 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 |
|---|
Mr Eric Edwards Lopez,
1848 Se 1st Ave,
Fort Lauderdale, FL 33316
Ph: (954) 885-9500 | Mr Eric Edwards Lopez,
83 E Shaw Ave Ste 102,
Fresno, CA 93710-7616
Ph: (559) 226-0167 |
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