Dr Manuel Enrique Lopez Diez, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Palm Coast, Florida. He went to University Of Puerto Rico School Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Lopez Pain Management Llc, Ability Health Services, Inc, Ability Health Services And Rehabilitation Lp and his current practice location is
4863 Palm Coast Pkwy Nw, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 222-7746.
Dr Manuel Enrique Lopez Diez is licensed to practice in Florida (license number ME 107153) 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 1144458100.
Physician's Profile
| Full Name | Dr Manuel Enrique Lopez Diez |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 23 Years |
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| Location | 4863 Palm Coast Pkwy Nw, Palm Coast, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Manuel Enrique Lopez Diez attended and graduated from University Of Puerto Rico School Of Medicine in 2003
NPI Data:
- NPI Number: 1144458100
- Provider Enumeration Date: 06/29/2009
- Last Update Date: 12/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103008925
- Enrollment ID: I20130305000477
Medical Identifiers
Medical identifiers for Dr Manuel Enrique Lopez Diez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144458100 | NPI | - | NPPES |
| 008263500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 15704 (Puerto Rico) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 4301087534 (Michigan) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME 107153 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lopez Pain Management Llc | 8325323538 | 4 |
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
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 Manuel Enrique Lopez Diez allows following entities to bill medicare on his behalf.
| Entity Name | Lopez Pain Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871032466
PECOS PAC ID: 8325323538
Enrollment ID: O20170329002453 |
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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 Manuel Enrique Lopez Diez 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 |
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Dr Manuel Enrique Lopez Diez, MD
155 Bent Trl,
Ponte Vedra, FL 32081-0846
Ph: (904) 707-5498 | Dr Manuel Enrique Lopez Diez, MD
4863 Palm Coast Pkwy Nw,
Palm Coast, FL 32137-3666
Ph: (386) 222-7746 |
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