Dr Wandamaria B Lopez, PHD in Valdosta, GA - Medicare Clinical Psychologist Provider

Dr Wandamaria B Lopez, PHD is a medicare enrolled "Psychologist - Clinical" provider in Valdosta, Georgia. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Better Mood Clinic S Ga Llc and her current practice location is 2935 N Ashley St, Suite F, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 333-2273.

Dr Wandamaria B Lopez is licensed to practice in Georgia (license number PSY001532) 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 1124052667.

Contact Information

	Dr Wandamaria B Lopez, PHD
	2935 N Ashley St, Suite F, Valdosta, GA 31602-1777
	(229) 333-2273
	(229) 293-7911

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Wandamaria B Lopez
Gender	Female
Speciality	Clinical Psychologist
Experience	34 Years
Location	2935 N Ashley St, Valdosta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Wandamaria B Lopez graduated from medical school in 1990

NPI Data:

NPI Number: 1124052667
Provider Enumeration Date: 07/10/2006
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 0042398281
Enrollment ID: I20080514000824

Medical Identifiers

Medical identifiers for Dr Wandamaria B Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124052667	NPI	-	NPPES
XXXXX9255	Other	GA	TRICARE
281450LO	Other	GA	BCBS
000463724B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY001532 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Better Mood Clinic S Ga Llc	0941472617	3

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 Wandamaria B Lopez allows following entities to bill medicare on her behalf.

Entity Name	Better Mood Clinic S Ga Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154603470 PECOS PAC ID: 0941472617 Enrollment ID: O20111003000290

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 Wandamaria B 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
Dr Wandamaria B Lopez, PHD 2935 N Ashley St, Suite F, Valdosta, GA 31602-1777 Ph: (229) 333-2273	Dr Wandamaria B Lopez, PHD 2935 N Ashley St, Suite F, Valdosta, GA 31602-1777 Ph: (229) 333-2273

Reviews and Comments

Psychologist in Valdosta, GA

Dr. Destin Nicole Stewart, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3312 N Oak Street Ext Bldg D, Valdosta, GA 31605 Phone: 229-244-2030 Fax: 229-244-2038
Nikovia Milledge, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3131 N Oak Street Ext Apt 12f, Valdosta, GA 31602 Phone: 793-489-5955
Dr. Marcie C Wiseman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St, Building B-3, Valdosta, GA 31602 Phone: 229-257-0100
Wilhelmenia Howell, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 303 Woodrow Wilson Dr, Valdosta, GA 31602 Phone: 229-244-5000 Fax: 229-244-0808
Dr. Twyla Lucinda Mancil, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2236 Bemiss Rd, Valdosta, GA 31602 Phone: 229-474-9800 Fax: 912-550-4166
Aldo Enrique Revilla, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Bermiss Rd, Moody Afb, Valdosta, GA 31699 Phone: 229-257-4211

Dr Wandamaria B Lopez, PHD - Medicare Psychologist in Valdosta, GA