Pedro Juan Lopez, MD is a medicare enrolled "Internal Medicine" physician in Clinton, Oklahoma. His current practice location is
Rr 1 Box 3060, Clinton, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 331-3340.
Pedro Juan Lopez is licensed to practice in Puerto Rico (license number 11556) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649276601.
Physician's Profile
| Full Name | Pedro Juan Lopez |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | Rr 1 Box 3060, Clinton, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649276601
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 11/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 5294753158
- Enrollment ID: I20051109000355
Medical Identifiers
Medical identifiers for Pedro Juan Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649276601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 11556 (Puerto Rico) | Primary |
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. Pedro Juan Lopez allows following entities to bill medicare on his behalf.
| Entity Name | Claremore Indian Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073527842
PECOS PAC ID: 9436069911
Enrollment ID: O20031210001104 |
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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. Pedro Juan 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 |
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Pedro Juan Lopez, MD
920 Lantern Ln,
Weatherford, OK 73096-5820
Ph: (580) 774-2835 | Pedro Juan Lopez, MD
Rr 1 Box 3060,
Clinton, OK 73601-9303
Ph: (580) 331-3340 |
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