Dr Mabel Lopez, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Fort Myers, Florida. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
10175 6 Mile Cypress Pkwy Ste 3, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 768-6500.
Dr Mabel Lopez is licensed to practice in Florida (license number PY7375) 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 1508971037.
Healthcare Provider's Profile
| Full Name | Dr Mabel Lopez |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 20 Years |
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| Location | 10175 6 Mile Cypress Pkwy Ste 3, Fort Myers, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mabel Lopez graduated from medical school in 2004
NPI Data:
- NPI Number: 1508971037
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163525254
- Enrollment ID: I20070309000399
Medical Identifiers
Medical identifiers for Dr Mabel Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508971037 | NPI | - | NPPES |
| PY7375 | Other | FL | FLORIDA LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY7375 (Florida) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | PY7375 (Florida) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY7375 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY7375 (Florida) | Secondary |
| 103TF0000X | Psychologist - Family | PY7375 (Florida) | Secondary |
| 103TF0200X | Psychologist - Forensic | PY7375 (Florida) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PY7375 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY7375 (Florida) | 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 Mabel Lopez allows following entities to bill medicare on her behalf.
| Entity Name | Mind And Brain Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942516844
PECOS PAC ID: 1456543271
Enrollment ID: O20101012000053 |
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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 Mabel 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 |
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Dr Mabel Lopez, PHD
10175 6 Mile Cypress Pkwy Ste 3,
Fort Myers, FL 33966-6993
Ph: (239) 768-6500 | Dr Mabel Lopez, PHD
10175 6 Mile Cypress Pkwy Ste 3,
Fort Myers, FL 33966-6993
Ph: (239) 768-6500 |
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