Mr Miguel Ernesto Lopez, FNP-C in Phoenix, AZ

Mr Miguel Ernesto Lopez, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. His current practice location is 3433 W Sierra Vista Dr, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 548-8050.

Mr Miguel Ernesto Lopez is licensed to practice in Arizona (license number 308950) 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 1982445383.

Contact Information

	Mr Miguel Ernesto Lopez, FNP-C
	3433 W Sierra Vista Dr, Phoenix, AZ 85017-1446
	(520) 548-8050
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Miguel Ernesto Lopez
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3433 W Sierra Vista Dr, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982445383
Provider Enumeration Date: 06/03/2024
Last Update Date: 06/14/2024

Medicare PECOS Information:

PECOS PAC ID: 0042720658
Enrollment ID: I20250611002779

Medical Identifiers

Medical identifiers for Mr Miguel Ernesto Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982445383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	308950 (Arizona)	Primary
163WE0003X	Registered Nurse - Emergency	RN154332 (Arizona)	Secondary

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 Miguel Ernesto Lopez allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Miguel Ernesto 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
Mr Miguel Ernesto Lopez, FNP-C 3433 W Sierra Vista Dr, Phoenix, AZ 85017-1446 Ph: (520) 548-8050	Mr Miguel Ernesto Lopez, FNP-C 3433 W Sierra Vista Dr, Phoenix, AZ 85017-1446 Ph: (520) 548-8050

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-469-1331
Ms. Aldijana Bjelobrkovic, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4350 N 19th Ave Ste 3, Phoenix, AZ 85015 Phone: 602-279-4975 Fax: 602-279-1108

Mr Miguel Ernesto Lopez, FNP-C - Medicare Nurse Practitioner in Phoenix, AZ