Mrs Georgina Gonzalez Lopez, APN in Benton Harbor, MI

Mrs Georgina Gonzalez Lopez, APN is a medicare enrolled "Nurse Practitioner - Family" in Benton Harbor, Michigan. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Riverside Health System, University Of Chicago and her current practice location is 1275 Mall Dr, Benton Harbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 934-9123.

Mrs Georgina Gonzalez Lopez is licensed to practice in Illinois (license number 277000954) 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 1386918597.

Contact Information

	Mrs Georgina Gonzalez Lopez, APN
	1275 Mall Dr, Benton Harbor, MI 49022-2309
	(269) 934-9123
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Georgina Gonzalez Lopez
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1275 Mall Dr, Benton Harbor, Michigan
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:

Mrs Georgina Gonzalez Lopez graduated from nursing school in 2023

NPI Data:

NPI Number: 1386918597
Provider Enumeration Date: 03/06/2012
Last Update Date: 06/17/2026

Medicare PECOS Information:

PECOS PAC ID: 8426211525
Enrollment ID: I20120530000507

Medical Identifiers

Medical identifiers for Mrs Georgina Gonzalez Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386918597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	277000954 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Riverside Medical Center	Kankakee, IL	Hospital
The University Of Chicago Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Health System	3274434717	209
University Of Chicago	7719899426	1671

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. Mrs Georgina Gonzalez Lopez allows following entities to bill medicare on her behalf.

Entity Name	Riverside Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780

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. Mrs Georgina Gonzalez 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
Mrs Georgina Gonzalez Lopez, APN 1275 Mall Dr, Benton Harbor, MI 49022-2309 Ph: (269) 934-9123	Mrs Georgina Gonzalez Lopez, APN 1275 Mall Dr, Benton Harbor, MI 49022-2309 Ph: (269) 934-9123

Reviews and Comments

Nurse Practitioner Nurses in Benton Harbor, MI

Ednah Kwamboka Makori, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 756 Pipestone St # 2, Benton Harbor, MI 49022 Phone: 269-926-8535
Mrs. Cynthia Carol Small, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 W Empire Ave # 1, Benton Harbor, MI 49022 Phone: 269-926-8535 Fax: 269-926-8528
Brianna Christine Medlin, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 M 139, Benton Harbor, MI 49022 Phone: 855-869-6900
Dr. Michella Bethea-jones, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1351 E Napier Ave, Benton Harbor, MI 49022 Phone: 269-934-5117
Christina Cabuena Oldham, PMH-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1485 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326
Jenny Lynn Parker, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 M 139, Benton Harbor, MI 49022 Phone: 855-869-6900 Fax: 269-934-9146
Cheryl Lynn Smith, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1485 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585

Mrs Georgina Gonzalez Lopez, APN - Medicare Nurse Practitioner in Benton Harbor, MI