Mark Daniel Lopez, MD in Augusta, GA - Medicare Emergency Medicine

Mark Daniel Lopez, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Augusta, Georgia. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1993 and has 31 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Au Medical Associates Emergency Medicine Billing Services, Llc and his current practice location is 1120 15th St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-4951.

Mark Daniel Lopez is licensed to practice in Georgia (license number 049055) 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 1053420257.

Contact Information

	Mark Daniel Lopez, MD
	1120 15th St, Augusta, GA 30912-0004
	(706) 721-4951
	(706) 721-7941

Map and Direction

Physician's Profile

Full Name	Mark Daniel Lopez
Gender	Male
Speciality	Emergency Medicine
Experience	31 Years
Location	1120 15th St, Augusta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Daniel Lopez attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1993

NPI Data:

NPI Number: 1053420257
Provider Enumeration Date: 08/30/2006
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 1254358328
Enrollment ID: I20090211000366

Medical Identifiers

Medical identifiers for Mark Daniel Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053420257	NPI	-	NPPES
G49055	Medicaid	SC
000875388A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	049055 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Au Medical Center	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Au Medical Associates Emergency Medicine Billing Services, Llc	3072823186	45

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. Mark Daniel Lopez allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Au Medical Associates Emergency Medicine Billing Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458

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. Mark Daniel 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 Address	Practice Location Address
Mark Daniel Lopez, MD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-6410	Mark Daniel Lopez, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-4951

Reviews and Comments

Pediatrics Doctors in Augusta, GA

Kenny Esho, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 574-850-2999
Janelle Mcgill, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623
Kristen Beeler, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437
Lorna Evorie Bell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941
Dr. William Weston Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 93 Bristlecone Ct., Augusta, GA 30909 Phone: 706-736-3704
Dr. Amanda Chaffin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9442
Aaron W Hanna, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1245 Augusta West Pkwy, Augusta, GA 30909 Phone: 706-868-0389 Fax: 706-651-0729

Mark Daniel Lopez, MD - Medicare Emergency Medicine in Augusta, GA