Tracy Lee Lopez, DMD is a medicare enrolled "Dentist" provider in Arrington, Virginia. Her current practice location is
4038 Thomas Nelson Hwy, Arrington, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 263-4000.
Tracy Lee Lopez is licensed to practice in Virginia (license number 0401418185) 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 1184037277.
Healthcare Provider's Profile
| Full Name | Tracy Lee Lopez |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 4038 Thomas Nelson Hwy, Arrington, Virginia |
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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: 1184037277
- Provider Enumeration Date: 06/05/2014
- Last Update Date: 05/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668751496
- Enrollment ID: I20230608000303
Medical Identifiers
Medical identifiers for Tracy Lee Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184037277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN20647 (Florida) | Secondary |
| 122300000X | Dentist | 0401418185 (Virginia) | 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. Tracy Lee Lopez allows following entities to bill medicare on her behalf.
| Entity Name | Blue Ridge Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518945187
PECOS PAC ID: 9739082520
Enrollment ID: O20040129000462 |
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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. Tracy Lee 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 |
|---|
Tracy Lee Lopez, DMD
4038 Thomas Nelson Hwy,
Arrington, VA 22922-2302
Ph: (434) 263-4000 | Tracy Lee Lopez, DMD
4038 Thomas Nelson Hwy,
Arrington, VA 22922-2302
Ph: (434) 263-4000 |
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