| Dr Manuel Enrique Lopez Diez, MD | |
|
4863 Palm Coast Pkwy Nw, Palm Coast, FL 32137-3666 | |
| (386) 222-7746 | |
| (904) 212-1351 |
| Full Name | Dr Manuel Enrique Lopez Diez |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 23 Years |
| Location | 4863 Palm Coast Pkwy Nw, Palm Coast, Florida |
| 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 |
|---|---|---|---|
| 1144458100 | NPI | - | NPPES |
| 008263500 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| 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 |
| Entity Name | Lopez Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871032466 PECOS PAC ID: 8325323538 Enrollment ID: O20170329002453 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Haley Grace Parker, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 360 Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-4101 Fax: 386-447-2161 | |
Dr. Rathi Lakshmi Joseph, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 21 Hospital Dr, Suite 120, Palm Coast, FL 32164 Phone: 358-586-2280 Fax: 386-274-3682 | |
Jason Stanley Frederick, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137 Phone: 872-231-3162 | |
Adam Mclaughlin, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 360 Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-4101 |