Dr Lidya Margarita Lataban-lopez, MD - Medicare General Practice in Palm Coast, FL

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Dr Lidya Margarita Lataban-lopez, MD is a medicare enrolled "General Practice" physician in Palm Coast, Florida. She graduated from medical school in 1990 and has 35 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Conviva Medical Center Management, Llc and her current practice location is 20 Cypress Point Pkwy Ste A, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 586-7005.

Dr Lidya Margarita Lataban-lopez is licensed to practice in Florida (license number ACN911) 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 1275581829.

Contact Information

Dr Lidya Margarita Lataban-lopez, MD
20 Cypress Point Pkwy Ste A,
Palm Coast, FL 32164-7528
(386) 586-7005
(844) 867-3940

Map and Direction




Physician's Profile

Full NameDr Lidya Margarita Lataban-lopez
GenderFemale
SpecialityGeneral Practice
Experience35 Years
Location20 Cypress Point Pkwy Ste A, Palm Coast, Florida
Accepts Medicare AssignmentsYes. 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 Lidya Margarita Lataban-lopez graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1275581829
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 12/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183608904
  • Enrollment ID: I20170525002471

Medical Identifiers

Medical identifiers for Dr Lidya Margarita Lataban-lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275581829NPI-NPPES
ACN911OtherFLFLORIDA LICENSE
B159OtherPRFIRST MEDICAL
22385OtherPRTRIPLE S DE PUERTO RICO
9700031OtherPRHUMANA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 15204 (Puerto Rico)Secondary
208D00000XGeneral Practice ACN911 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Florida Hospital FlaglerPalm coast, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Conviva Medical Center Management, Llc4284717422491

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 Lidya Margarita Lataban-lopez allows following entities to bill medicare on her behalf.
Entity NameRural Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871569061
PECOS PAC ID: 7214849520
Enrollment ID: O20031219000375
Entity NameConviva Medical Center Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649324278
PECOS PAC ID: 4284717422
Enrollment ID: O20080212000415

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 Lidya Margarita Lataban-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 AddressPractice Location Address
Dr Lidya Margarita Lataban-lopez, MD
6101 Blue Lagoon Dr Ste 200,
Miami, FL 33126-3168

Ph: (305) 500-2000		Dr Lidya Margarita Lataban-lopez, MD
20 Cypress Point Pkwy Ste A,
Palm Coast, FL 32164-7528

Ph: (386) 586-7005

Reviews and Comments


General Practice Doctors in Palm Coast, FL

Dr. Rommelle Von Such, M.D.
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Practice Location: 1 Florida Park Dr N, Suite 109-110, Palm Coast, FL 32137
Phone: 386-445-3619    Fax: 386-445-6925
Dr. Canice Chukwuocha, MD
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Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137
Phone: 386-446-5505    
Dr. Khaled Ibrahim, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137
Phone: 386-446-5505    
Dr. Alex Ramon Taveras-cruz, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137
Phone: 386-446-5505    Fax: 386-446-5077
Santos Ramos Davila, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 2 Mccormick Dr, Palm Coast, FL 32164
Phone: 386-246-7365    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.