Coronel Einna-ernest Lopez, DPT in Mishawaka, IN - Medicare Physical Therapist Provider

Coronel Einna-ernest Lopez, DPT is a medicare enrolled "Physical Therapist" provider in Mishawaka, Indiana. His current practice location is 5325 Grape Rd Ste C, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 404-8405.

Coronel Einna-ernest Lopez is licensed to practice in Arizona (license number 10060) 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 1013252089.

Contact Information

	Coronel Einna-ernest Lopez, DPT
	5325 Grape Rd Ste C, Mishawaka, IN 46545-1474
	(574) 404-8405
	(574) 314-9034

Map and Direction

Healthcare Provider's Profile

Full Name	Coronel Einna-ernest Lopez
Gender	Male
Speciality	Physical Therapist
Location	5325 Grape Rd Ste C, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013252089
Provider Enumeration Date: 12/03/2012
Last Update Date: 03/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4486978640
Enrollment ID: I20150115002441

Medical Identifiers

Medical identifiers for Coronel Einna-ernest Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013252089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10060 (Arizona)	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. Coronel Einna-ernest Lopez allows following entities to bill medicare on his behalf.

Provider Name	Navajo Health Foundation-sage Memorial Hospital, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477735777 PECOS PAC ID: 2163332347 Enrollment ID: O20040326001225

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. Coronel Einna-ernest 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
Coronel Einna-ernest Lopez, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200	Coronel Einna-ernest Lopez, DPT 5325 Grape Rd Ste C, Mishawaka, IN 46545-1474 Ph: (574) 404-8405

Reviews and Comments

Physical Therapist in Mishawaka, IN

Cory Goodson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Douglas Rd, Mishawaka, IN 46545 Phone: 574-307-7200
Leslie Ann Laughlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 W Day Rd, Mishawaka, IN 46545 Phone: 574-256-9420 Fax: 574-256-9465
Ergonomic Health Solutions Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3640 Edison Lakes Pkwy, Suite B, Mishawaka, IN 46545 Phone: 574-256-6704 Fax: 574-256-2284
Jonathan D.v. Sanner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3740 Edison Lakes Pkwy, Mishawaka, IN 46545 Phone: 574-252-4150 Fax: 574-252-4159
Mr. David Yugo, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4455 Edison Lakes Pkwy, Mishawaka, IN 46545 Phone: 574-259-1175 Fax: 574-259-9671
Mrs. Darla J Lingle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3630 Hickory Rd, Mishawaka, IN 46545 Phone: 574-252-7225

Coronel Einna-ernest Lopez, DPT - Medicare Physical Therapist in Mishawaka, IN