Ethan Lopez, DO - Medicare Internal Medicine in Pleasanton, TX

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Ethan Lopez, DO is a medicare enrolled "Internal Medicine" physician in Pleasanton, Texas. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Conviva Medical Center Management Of Texas, P.a. and his current practice location is 1030 Bensdale Rd, Pleasanton, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 569-6615.

Ethan Lopez is licensed to practice in Texas (license number R9644) 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 1649703513.

Contact Information

Ethan Lopez, DO
1030 Bensdale Rd,
Pleasanton, TX 78064-2037
(830) 569-6615
(830) 569-6714

Map and Direction




Physician's Profile

Full NameEthan Lopez
GenderMale
SpecialityInternal Medicine
Experience7 Years
Location1030 Bensdale Rd, Pleasanton, 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:
  • Ethan Lopez attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2017
  NPI Data:
  • NPI Number: 1649703513
  • Provider Enumeration Date: 04/07/2017
  • Last Update Date: 07/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8527481415
  • Enrollment ID: I20200710001710

Medical Identifiers

Medical identifiers for Ethan Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649703513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R9644 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Conviva Medical Center Management Of Texas, P.a.872930227887

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. Ethan Lopez allows following entities to bill medicare on his behalf.
Entity NameAmistad Community Health Center Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386770147
PECOS PAC ID: 8527131036
Enrollment ID: O20100405000142
Entity NameConviva Medical Center Management Of Texas, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770988990
PECOS PAC ID: 8729302278
Enrollment ID: O20150112000488

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. Ethan 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
Ethan Lopez, DO
1030 Bensdale Rd,
Pleasanton, TX 78064-2037

Ph: (830) 569-6615		Ethan Lopez, DO
1030 Bensdale Rd,
Pleasanton, TX 78064-2037

Ph: (830) 569-6615

Reviews and Comments


Internal Medicine Doctors in Pleasanton, TX

Abimbola Michael Banjo, M.D.,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 220 W Goodwin St, Pleasanton, TX 78064
Phone: 830-569-2440    Fax: 830-281-4300
Gustavo Adolfo Ferreira, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 220 W Goodwin St Ste B, Pleasanton, TX 78064
Phone: 830-480-5133    Fax: 830-480-5144
Dr. Vernon C Haverlah, D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 220 W Goodwin St, Ste. A, Pleasanton, TX 78064
Phone: 830-569-2118    Fax: 830-281-5958

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.