Mr Everardo Lopez Perna, PA, CSA is a
Specialist/technologist, Other - Surgical Assistant based in Louisville, Kentucky. Mr Everardo Lopez Perna is licensed to practice in Kentucky (license number SA342) and his current practice location is
4001 Kresge Way Ste 200, Louisville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 895-1995.
NPI number for Mr Everardo Lopez Perna is 1710527510 and his current mailing address is 129 Arbor Glen Ct, Mount Washington, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710527510.
Provider's Profile
| Full Name | Mr Everardo Lopez Perna |
|---|
| Gender | Male |
|---|
| Speciality | Specialist/technologist, Other - Surgical Assistant |
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| Location | 4001 Kresge Way Ste 200, Louisville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710527510
- Provider Enumeration Date: 01/09/2020
- Last Update Date: 02/05/2026
Medical Identifiers
Medical identifiers for Mr Everardo Lopez Perna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710527510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AS0400X | Physician Assistant - Surgical | 2618 (Puerto Rico) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | SA342 (Kentucky) | Primary |
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. Mr Everardo Lopez Perna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Everardo Lopez Perna, PA, CSA 129 Arbor Glen Ct, Mount Washington, KY 40047-5861 Ph: (786) 461-9972 | Mr Everardo Lopez Perna, PA, CSA 4001 Kresge Way Ste 200, Louisville, KY 40207-4640 Ph: (502) 895-1995 |
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