Mr Michael J Lopez, CRNP (FAMILY HEALTH) - Medicare Nurse Practitioner in Bridgeport, PA

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Mr Michael J Lopez, CRNP (FAMILY HEALTH) is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Pennsylvania. His current practice location is 512 Dekalb St, Bridgeport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 787-8000.

Mr Michael J Lopez is licensed to practice in Pennsylvania (license number SPO23390) 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 1437744976.

Contact Information

Mr Michael J Lopez, CRNP (FAMILY HEALTH)
512 Dekalb St,
Bridgeport, PA 19405-1134
(610) 787-8000
(610) 270-2834

Map and Direction




Provider's Profile

Full NameMr Michael J Lopez
GenderMale
SpecialityNurse Practitioner - Family
Location512 Dekalb St, Bridgeport, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437744976
  • Provider Enumeration Date: 03/06/2021
  • Last Update Date: 04/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981083680
  • Enrollment ID: I20220627003215

Medical Identifiers

Medical identifiers for Mr Michael J Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437744976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SPO23390 (Pennsylvania)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. Mr Michael J Lopez allows following entities to bill medicare on his behalf.
Entity NameGood Shepherd Rehabilitation Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427035039
PECOS PAC ID: 9335032390
Enrollment ID: O20040301000379
Entity NameOnly One Hub
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386373041
PECOS PAC ID: 4284019688
Enrollment ID: O20230119001529

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 Michael J 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 AddressPractice Location Address
Mr Michael J Lopez, CRNP (FAMILY HEALTH)
3811 Patton St,
Reading, PA 19606-2854

Ph: (717) 580-6559		Mr Michael J Lopez, CRNP (FAMILY HEALTH)
512 Dekalb St,
Bridgeport, PA 19405-1134

Ph: (610) 787-8000

Reviews and Comments


Nurse Practitioner Nurses in Bridgeport, PA

Wendy Burkhardt, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 512 Dekalb St, Bridgeport, PA 19405
Phone: 610-787-8000    
Mrs. Stephanie L Timmer, MSN, CRNP, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 351 Hurst St, Bridgeport, PA 19405
Phone: 484-744-4366    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.