Noe Lopez, FNP in Fontana, CA - Medicare Nurse Practitioner

Noe Lopez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fontana, California. His current practice location is 17296 Slover Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 609-3000.

Noe Lopez is licensed to practice in California (license number 610082) 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 1962936930.

Contact Information

	Noe Lopez, FNP
	17296 Slover Ave, Fontana, CA 92337-7585
	(909) 609-3000
	(909) 609-3029

Map and Direction

Provider's Profile

Full Name	Noe Lopez
Gender	Male
Speciality	Nurse Practitioner - Family
Location	17296 Slover Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962936930
Provider Enumeration Date: 04/17/2017
Last Update Date: 12/03/2019

Medicare PECOS Information:

PECOS PAC ID: 3274920160
Enrollment ID: I20220422002011

Medical Identifiers

Medical identifiers for Noe Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962936930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WD0400X	Registered Nurse - Diabetes Educator	610082 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	610082 (California)	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. Noe Lopez allows following entities to bill medicare on his behalf.

Entity Name	Cucamonga Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497783229 PECOS PAC ID: 6709899883 Enrollment ID: O20060712000099

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. Noe 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
Noe Lopez, FNP 497 Fort Lewis Dr, Pomona, CA 91767-1225 Ph: (909) 482-1491	Noe Lopez, FNP 17296 Slover Ave, Fontana, CA 92337-7585 Ph: (909) 609-3000

Reviews and Comments

Nurse Practitioner Nurses in Fontana, CA

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Cory Michael Layvas, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000
Lisa Marie Hanson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA 92336 Phone: 909-823-8000
Fabiola Sianturi, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8110 Mango Ave, Fontana, CA 92335 Phone: 909-854-0430
Nadia Le Flore, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17051 Sierra Lakes Pkwy # 103, Fontana, CA 92336 Phone: 909-770-1000

Noe Lopez, FNP - Medicare Nurse Practitioner in Fontana, CA