| Jeremiah Lopez, MD | |
|
530 Beech St, Charlotte, MI 48813-1016 | |
| (517) 543-2940 | |
| (517) 541-0670 |
| Full Name | Jeremiah Lopez |
|---|---|
| Gender | Male |
| Speciality | Geriatric Medicine |
| Experience | 18 Years |
| Location | 530 Beech St, Charlotte, Michigan |
| 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 |
|---|---|---|---|
| 1306134085 | NPI | - | NPPES |
| 1306134085 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 4301099387 (Michigan) | Primary |
| 207Q00000X | Family Medicine | 4301099387 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Greater Lansing | Lansing, MI | Hospital |
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Sparrow Eaton Hospital | Charlotte, MI | Hospital |
| Eaton County Medical Care Faci | Charlotte, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Greater Lansing | 7214833466 | 96 |
| Msu Health Care Inc. | 8628404936 | 207 |
| Entity Name | Michigan State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861443269 PECOS PAC ID: 3870405954 Enrollment ID: O20031105000741 |
| Entity Name | Mclaren Greater Lansing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265600902 PECOS PAC ID: 7214833466 Enrollment ID: O20031217000526 |
| Entity Name | Msu Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Lopez, MD 804 Service Rd Ste A202, East Lansing, MI 48824-7015 Ph: () - | Jeremiah Lopez, MD 530 Beech St, Charlotte, MI 48813-1016 Ph: (517) 543-2940 |
Robert L Leeser, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Lansing St, Suite 3a, Charlotte, MI 48813 Phone: 517-543-0600 | |
Kimberly R Friar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Lansing St, Suite 3a, Charlotte, MI 48813 Phone: 517-543-0600 | |
Dr. Linda Murray Chermak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Lansing St, Suite 230, Charlotte, MI 48813 Phone: 517-543-5110 Fax: 517-543-9776 | |
Dr. Kassem Mahmoud Hallak, MD MS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 616 Meijer St, Charlotte, MI 48813 Phone: 517-543-7800 Fax: 517-543-7900 | |
Scot Randall, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Lansing St, Suite 100, Charlotte, MI 48813 Phone: 517-541-5962 Fax: 517-541-5963 | |
Sally King Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 S Cochran Ave, Suite C, Charlotte, MI 48813 Phone: 517-543-9095 Fax: 517-543-3339 |