| Dr Javier Lopez, MD | |
|
267 Grant St, Bridgeport, CT 06610-2805 | |
| (203) 384-3897 | |
| (203) 384-3950 |
| Full Name | Dr Javier Lopez |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 21 Years |
| Location | 267 Grant St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023025327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 044539 (Connecticut) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 044539 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Javier Lopez, MD 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3897 | Dr Javier Lopez, MD 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3897 |
Raj Kumari Bansal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 | |
Dr. Vanja Kondev, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 340 Capitol Ave, Bridgeport, CT 06606 Phone: 203-367-5589 Fax: 203-330-0838 | |
Dr. Reginald Anthony Hoffler, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1106 North Ave, Bridgeport, CT 06604 Phone: 203-579-6131 Fax: 203-382-8464 | |
Dr. Anthony Louis Labruzza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 | |
Joy Reyes, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3897 Fax: 203-384-3950 | |
Dr. David Arthur Carlson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 |