| Stacey Lopez, PA-C | |
|
621 Sw Johnson Ave Ste C, Burleson, TX 76028-5834 | |
| (817) 766-7421 | |
| (817) 447-8100 |
| Full Name | Stacey Lopez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 621 Sw Johnson Ave Ste C, Burleson, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134769292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13099 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prestige Dermatology Pllc | 2365752813 | 5 |
| Entity Name | Prestige Dermatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962878843 PECOS PAC ID: 2365752813 Enrollment ID: O20151112001450 |
| Entity Name | Derm on Demand LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780234237 PECOS PAC ID: 2567814585 Enrollment ID: O20240116000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Lopez, PA-C 621 Sw Johnson Ave Ste C, Burleson, TX 76028-5834 Ph: (817) 718-3571 | Stacey Lopez, PA-C 621 Sw Johnson Ave Ste C, Burleson, TX 76028-5834 Ph: (817) 766-7421 |
Haley Kathryn Rehm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 |
Noelia Delgado Rosas, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 215 Old Highway 1187, Burleson, TX 76028 Phone: 817-926-2663 |
Mr. Jose Calderon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy Ste 140, Burleson, TX 76028 Phone: 817-551-6161 Fax: 817-551-6177 |
Shellie Diane Shepherd, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 12608 South Fwy Ste 140, Burleson, TX 76028 Phone: 817-295-7214 Fax: 817-295-7062 |
Courtney Kay Fernandez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2730 Sw Wilshire Blvd, Burleson, TX 76028 Phone: 817-916-5180 |
Morgan Ashley Thomas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12001 South Fwy Ste 307, Burleson, TX 76028 Phone: 817-568-8700 |
Kevin Barron, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1501 Sw Wilshire Blvd, Burleson, TX 76028 Phone: 817-295-9400 Fax: 817-295-9408 |