| Mr Edwin Perez-lopez, MD | |
|
83 Wellness Way Ste 101&201, Benton, KY 42025-7156 | |
| (270) 527-0045 | |
| (270) 527-9615 |
| Full Name | Mr Edwin Perez-lopez |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 83 Wellness Way Ste 101&201, Benton, Kentucky |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447272299 | NPI | - | NPPES |
| 64106602 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39144 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall County Hospital Hha | Benton, KY | Home health agency |
| Mercy Health - Home Care, Paducah | Paducah, KY | Home health agency |
| Lourdes Hospice | Paducah, KY | Hospice |
| Lourdes Hospital | Paducah, KY | Hospital |
| Baptist Health Paducah | Paducah, KY | Hospital |
| Marshall County Hospital | Benton, KY | Hospital |
| Calvert City Convalescent Center | Calvert city, KY | Nursing home |
| Oakview Nursing & Rehabilitation Center | Calvert city, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marshall County Hospital District | 3375581986 | 17 |
| Mercy Health-lourdes Hospital Llc | 7315831666 | 12 |
| Entity Name | Mercy Health-lourdes Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346244126 PECOS PAC ID: 7315831666 Enrollment ID: O20040209001113 |
| Entity Name | Marshall County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689778250 PECOS PAC ID: 3375581986 Enrollment ID: O20050422000645 |
| Entity Name | Mercy Health Physicians Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922243690 PECOS PAC ID: 1153488648 Enrollment ID: O20090327000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edwin Perez-lopez, MD 83 Wellness Way Ste 101&201, Benton, KY 42025-7156 Ph: () - | Mr Edwin Perez-lopez, MD 83 Wellness Way Ste 101&201, Benton, KY 42025-7156 Ph: (270) 527-0045 |
William Richard Colburn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 83 Wellness Way, Benton, KY 42025 Phone: 270-527-8601 Fax: 270-527-9615 | |
Austin Beck, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 83 Wellness Way Ste 101&201, Benton, KY 42025 Phone: 270-527-0045 | |
Kim M Hall, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 617 Old Symsonia Rd, Benton, KY 42025 Phone: 270-527-2411 Fax: 270-527-8734 | |
William Powell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 619 Old Symsonia Rd, Benton, KY 42025 Phone: 270-527-2411 Fax: 270-527-8734 |