Dr Frederick Lopez, PSYCHOLOGIST - Medicare Psychologist in Colton, CA

Dr Frederick Lopez, PSYCHOLOGIST is a medicare enrolled "Psychologist" provider in Colton, California. His current practice location is 1012 E Cooley Dr Ste B2, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 251-2449.

Dr Frederick Lopez is licensed to practice in California (license number PSY32140) 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 1669671699.

Contact Information

Dr Frederick Lopez, PSYCHOLOGIST
1012 E Cooley Dr Ste B2,
Colton, CA 92324-3959
(909) 251-2449
(909) 494-4208

Map and Direction




Healthcare Provider's Profile

Full NameDr Frederick Lopez
GenderMale
SpecialityPsychologist
Location1012 E Cooley Dr Ste B2, Colton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669671699
  • Provider Enumeration Date: 07/11/2007
  • Last Update Date: 05/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991116436
  • Enrollment ID: I20201204001027

Medical Identifiers

Medical identifiers for Dr Frederick Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669671699NPI-NPPES
00007473MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY32140 (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. Dr Frederick Lopez allows following entities to bill medicare on his behalf.
Entity NameMemory Check Psychological Services, A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021
Entity NameAlo Ha Psychological Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770918674
PECOS PAC ID: 3476783978
Enrollment ID: O20140301000213
Entity NameFrederick Lopez Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306598297
PECOS PAC ID: 2567857774
Enrollment ID: O20220324000955

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. Dr Frederick 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 AddressPractice Location Address
Dr Frederick Lopez, PSYCHOLOGIST
14238 Edgehill Ct,
Fontana, CA 92337-0109

Ph: (909) 684-4119
Dr Frederick Lopez, PSYCHOLOGIST
1012 E Cooley Dr Ste B2,
Colton, CA 92324-3959

Ph: (909) 251-2449

Reviews and Comments


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