Dr Ivelisse Lopez, MD in Fort Wayne, IN - Medicare Gastroenterology

Dr Ivelisse Lopez, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Fort Wayne, Indiana. She went to University Of Puerto Rico School Of Medicine and graduated in 1995 and has 31 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Archbold Medical Group, Inc. and her current practice location is 11104 Parkview Circle Dr Ste 310, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-5230.

Dr Ivelisse Lopez is licensed to practice in Indiana (license number 01100291A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316913171.

Contact Information

	Dr Ivelisse Lopez, MD
	11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733
	(260) 266-5230
	(260) 458-5972

Map and Direction

Physician's Profile

Full Name	Dr Ivelisse Lopez
Gender	Female
Speciality	Gastroenterology
Experience	31 Years
Location	11104 Parkview Circle Dr Ste 310, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ivelisse Lopez attended and graduated from University Of Puerto Rico School Of Medicine in 1995

NPI Data:

NPI Number: 1316913171
Provider Enumeration Date: 02/23/2006
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 6800830050
Enrollment ID: I20241112000225

Medical Identifiers

Medical identifiers for Dr Ivelisse Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316913171	NPI	-	NPPES
262579200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	ME82595 (Florida)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	01100291A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John D Archbold Memorial Hospital	Thomasville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Archbold Medical Group, Inc.	8123196383	80

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 Ivelisse Lopez allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Tift Regional Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409

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 Ivelisse 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 Ivelisse Lopez, MD 2880 S Osceola Ave, Orlando, FL 32806-5431 Ph: (407) 843-0443	Dr Ivelisse Lopez, MD 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 Ph: (260) 266-5230

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Mr. Kenneth A Smith, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255
Dr. Carl M Williams, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Dr Ivelisse Lopez, MD - Medicare Gastroenterology in Fort Wayne, IN