Dr Juan Pablo Lopez Gonzalez, MD is a medicare enrolled "General Practice" physician in Ridge Manor, Florida. His current practice location is
34490 Cortez Blvd, Ridge Manor, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 583-4520.
Dr Juan Pablo Lopez Gonzalez is licensed to practice in Puerto Rico (license number 16911) 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 1225210685.
Physician's Profile
| Full Name | Dr Juan Pablo Lopez Gonzalez |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 34490 Cortez Blvd, Ridge Manor, 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: 1225210685
- Provider Enumeration Date: 11/28/2007
- Last Update Date: 05/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749365716
- Enrollment ID: I20190829001456
Medical Identifiers
Medical identifiers for Dr Juan Pablo Lopez Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225210685 | NPI | - | NPPES |
| 16911 | Other | PR | MEDICINE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 16911 (Puerto Rico) | 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 Juan Pablo Lopez Gonzalez allows following entities to bill medicare on his behalf.
| Entity Name | Healthflo Medical Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164568275
PECOS PAC ID: 8426966854
Enrollment ID: O20051118000564 |
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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 Juan Pablo Lopez Gonzalez 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 Juan Pablo Lopez Gonzalez, MD
34490 Cortez Blvd,
Ridge Manor, FL 33523-8908
Ph: (352) 583-4520 | Dr Juan Pablo Lopez Gonzalez, MD
34490 Cortez Blvd,
Ridge Manor, FL 33523-8908
Ph: (352) 583-4520 |
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