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. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Medical Foundation and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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
Experience	2 Years
Location	3433 W Sierra Vista Dr, Phoenix, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Miguel Ernesto Lopez graduated from nursing school in 2024

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1468

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
Dr. Monica Nassim Jeffers, NMD, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1732 E Sheena Dr, Phoenix, AZ 85022 Phone: 602-330-3420
Mrs. Kristin Carol Kolodziej, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 E Rose Garden Ln Unit 71351, Phoenix, AZ 85050 Phone: 480-448-0356 Fax: 480-870-1675
Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22044 N 44th St Ste 200, Phoenix, AZ 85050 Phone: 602-257-7673 Fax: 602-257-7344
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

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