Dr Rafael Lopez, MD - Medicare Family Practice in San Benito, TX

Dr Rafael Lopez, MD is a medicare enrolled "Family Medicine" physician in San Benito, Texas. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Monzer H Yazji Md And Associates Pllc and his current practice location is 351 N Sam Houston Blvd, San Benito, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 399-2443.

Dr Rafael Lopez is licensed to practice in Texas (license number J0403) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609873058.

Contact Information

Dr Rafael Lopez, MD
351 N Sam Houston Blvd,
San Benito, TX 78586-4656
(956) 399-2443
(956) 399-6331

Map and Direction




Physician's Profile

Full NameDr Rafael Lopez
GenderMale
SpecialityFamily Practice
Experience40 Years
Location351 N Sam Houston Blvd, San Benito, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Rafael Lopez graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1609873058
  • Provider Enumeration Date: 06/30/2005
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517008188
  • Enrollment ID: I20100104000617

Medical Identifiers

Medical identifiers for Dr Rafael Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609873058NPI-NPPES
J0403OtherTXTEXAS MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine J0403 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vhs Harlingen Hospital Company LlcHarlingen, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monzer H Yazji Md And Associates Pllc2062470529100

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 Rafael Lopez allows following entities to bill medicare on his behalf.
Entity NameSan Benito Medical Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093792624
PECOS PAC ID: 9234025578
Enrollment ID: O20040812000345
Entity NameMonzer H Yazji Md & Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073508545
PECOS PAC ID: 2062470529
Enrollment ID: O20041230000046

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 Rafael 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 Rafael Lopez, MD
502 S Closner Blvd,
Edinburg, TX 78539-4660

Ph: (956) 468-2999
Dr Rafael Lopez, MD
351 N Sam Houston Blvd,
San Benito, TX 78586-4656

Ph: (956) 399-2443

Reviews and Comments


Family Medicine Doctors in San Benito, TX

Carlina Lora, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 850 W Us Highway 77 Ste C, San Benito, TX 78586
Phone: 956-361-4558    Fax: 956-361-4998
Dr. Cecil R Simmons, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 351 N Sam Houston Blvd, San Benito, TX 78586
Phone: 956-399-2443    Fax: 956-399-6331
Dr. William H Heins, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 351 N Sam Houston Blvd, San Benito, TX 78586
Phone: 956-399-2443    Fax: 956-399-6331
Dr. Joy Anne Faye Kroes, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 351 N Sam Houston Blvd, San Benito, TX 78586
Phone: 956-247-7000    Fax: 956-399-6331
John R Tucker, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 178 Lakeview St N, San Benito, TX 78586
Phone: 956-247-7050    
Dr. Christina Cano-gonzalez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 351 N Sam Houston Blvd, San Benito, TX 78586
Phone: 956-399-2443    Fax: 956-399-6331

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.