| Dr Jose Luis Lopez Jr, MD | |
|
5314 Lincolnway E, Mishawaka, IN 46544-4249 | |
| (574) 647-8542 | |
| (574) 647-8549 |
| Full Name | Dr Jose Luis Lopez Jr |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 19 Years |
| Location | 5314 Lincolnway E, Mishawaka, Indiana |
| 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 |
|---|---|---|---|
| 1336352806 | NPI | - | NPPES |
| 201214240 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01073464A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Community Hospital Of Bremen Inc | Bremen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 580 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose Luis Lopez Jr, MD 3245 Health Drive, Suite 100, Granger, IN 46530-3245 Ph: (574) 647-1840 | Dr Jose Luis Lopez Jr, MD 5314 Lincolnway E, Mishawaka, IN 46544-4249 Ph: (574) 647-8542 |
Brian K Esch, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3625 Park Pl W Ste 150, Mishawaka, IN 46545 Phone: 574-282-1060 | |
Dr. Benjamin Louis Troy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 230 East Day Road, Suite 160, Mishawaka, IN 46545 Phone: 574-271-8222 Fax: 574-271-8896 | |
Dr. Francisco Javier Gomez-dossi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643 | |
Randall J Bjork, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643 | |
Edduyn A Figueroa, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 425 Park Place Cir Ste 150, Mishawaka, IN 46545 Phone: 574-273-2440 Fax: 574-273-2477 | |
Dr. Mark A Muckway, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643 |