Dr Johanna Lopez, RDN is a medicare enrolled "Dietitian, Registered" provider in Ft. Lauderdale, Florida. Her current practice location is
1323 Se 17th St, Pmb 100065, Ft. Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 973-2363.
Dr Johanna Lopez is licensed to practice in Florida (license number ND7671) 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 1144688466.
Healthcare Provider's Profile
| Full Name | Dr Johanna Lopez |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1323 Se 17th St, Ft. Lauderdale, Florida |
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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: 1144688466
- Provider Enumeration Date: 02/01/2016
- Last Update Date: 01/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234417684
- Enrollment ID: I20161107000087
Medical Identifiers
Medical identifiers for Dr Johanna Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144688466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | CDR 86017854 (Florida) | Secondary |
| 133V00000X | Dietitian, Registered | ND7671 (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. Dr Johanna Lopez allows following entities to bill medicare on her behalf.
| Provider Name | Vital Nutrition Dietitian |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477330603
PECOS PAC ID: 7113370081
Enrollment ID: O20240126001738 |
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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. Dr Johanna 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 |
|---|
Dr Johanna Lopez, RDN
1323 Se 17th St, Pmb 100065,
Ft. Lauderdale, FL 33316
Ph: (786) 973-2363 | Dr Johanna Lopez, RDN
1323 Se 17th St, Pmb 100065,
Ft. Lauderdale, FL 33316
Ph: (786) 973-2363 |
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