Emanuel Lopez, APN is a medicare enrolled "Nurse Practitioner - Family" in Lake Hiawatha, New Jersey. His current practice location is
64 Glenwood Ave, Lake Hiawatha, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 247-3223.
Emanuel Lopez is licensed to practice in New Jersey (license number 26NJ15151400) 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 1780405506.
Provider's Profile
| Full Name | Emanuel Lopez |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 64 Glenwood Ave, Lake Hiawatha, New Jersey |
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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: 1780405506
- Provider Enumeration Date: 10/23/2024
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698292894
- Enrollment ID: I20250512000909
Medical Identifiers
Medical identifiers for Emanuel Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780405506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 26NJ15151400 (New Jersey) | 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. Emanuel Lopez allows following entities to bill medicare on his behalf.
| Entity Name | Gmed Healthcare Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508169160
PECOS PAC ID: 8022292564
Enrollment ID: O20110407000803 |
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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. Emanuel 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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Emanuel Lopez, APN
64 Glenwood Ave,
Lake Hiawatha, NJ 07034-1012
Ph: (201) 247-3223 | Emanuel Lopez, APN
64 Glenwood Ave,
Lake Hiawatha, NJ 07034-1012
Ph: (201) 247-3223 |
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