Dr Gustavo Lopes, DO is a medicare enrolled "Surgery" physician in Port Saint Lucie, Florida. His current practice location is
900 Se Becker Rd, Port Saint Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 255-7550.
Dr Gustavo Lopes is licensed to practice in Florida (license number OS10182) 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 1588863351.
Physician's Profile
| Full Name | Dr Gustavo Lopes |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 900 Se Becker Rd, Port Saint Lucie, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588863351
- Provider Enumeration Date: 07/12/2007
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517140213
- Enrollment ID: I20110317000414
Medical Identifiers
Medical identifiers for Dr Gustavo Lopes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588863351 | NPI | - | NPPES |
| 004291000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | OS10182 (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 Gustavo Lopes allows following entities to bill medicare on his behalf.
| Entity Name | Tenet Florida Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659417467 PECOS PAC ID: 0345349478 Enrollment ID: O20080129000575 |
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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 Gustavo Lopes 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 Gustavo Lopes, DO Po Box 20800, Belfast, ME 04915-4105 Ph: (888) 402-7256 | Dr Gustavo Lopes, DO 900 Se Becker Rd, Port Saint Lucie, FL 34984-6641 Ph: (772) 255-7550 |
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