Marissa Ann Lopez, NP in Portland, IN - Medicare Nurse Practitioner

Marissa Ann Lopez, NP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Indiana. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Meridian Health Services Corp and her current practice location is 500 W Votaw St Ste A, Portland, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 726-4350.

Marissa Ann Lopez is licensed to practice in Indiana (license number 71012622A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669117370.

Contact Information

	Marissa Ann Lopez, NP
	500 W Votaw St Ste A, Portland, IN 47371-1322
	(260) 726-4350
	(260) 726-9340

Map and Direction

Provider's Profile

Full Name	Marissa Ann Lopez
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	500 W Votaw St Ste A, Portland, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marissa Ann Lopez graduated from nursing school in 2021

NPI Data:

NPI Number: 1669117370
Provider Enumeration Date: 04/28/2022
Last Update Date: 06/28/2022

Medicare PECOS Information:

PECOS PAC ID: 2466835137
Enrollment ID: I20220812000484

Medical Identifiers

Medical identifiers for Marissa Ann Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669117370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28212155A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71012622A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Jay, Inc.	Portland, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meridian Health Services Corp	5597679845	65

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. Marissa Ann Lopez allows following entities to bill medicare on her behalf.

Entity Name	Meridian Health Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531

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. Marissa Ann 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
Marissa Ann Lopez, NP 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928	Marissa Ann Lopez, NP 500 W Votaw St Ste A, Portland, IN 47371-1322 Ph: (260) 726-4350

Reviews and Comments

Nurse Practitioner Nurses in Portland, IN

Danielle Pottkotter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822
Mrs. Heather Ann Masters, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975
Kerry M Torres, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822
Danielle Thompson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312 Fax: 260-703-3313
Alice Odelia Bruggeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 West Votaw Street, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857
Mandy Jean Boeckman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2796 W 500 S, Portland, IN 47371 Phone: 260-729-3523 Fax: 812-220-4280
Samantha Lynn Rush, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312

Marissa Ann Lopez, NP - Medicare Nurse Practitioner in Portland, IN