Glenda Lopez-blaza Md, Llc - Medicare Primary Care in Dayton, OH

Glenda Lopez-blaza Md, Llc is a medicare enrolled primary clinic (Internal Medicine) in Dayton, Ohio. The current practice location for Glenda Lopez-blaza Md, Llc is 8710 N Dixie Dr, Dayton, Ohio. For appointments, you can reach them via phone at (937) 415-0501. The mailing address for Glenda Lopez-blaza Md, Llc is 8710 N Dixie Dr, Dayton, Ohio and phone number is (937) 415-0501.

Glenda Lopez-blaza Md, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033162169. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (937) 415-0501.

Contact Information

Glenda Lopez-blaza Md, Llc
8710 N Dixie Dr
Dayton
OH 45414-2406
(937) 415-0501
(937) 415-0520

Primary Care Clinic Profile

Full NameGlenda Lopez-blaza Md, Llc
SpecialityInternal Medicine
Location8710 N Dixie Dr, Dayton, Ohio
Authorized Official Name and PositionGlenda Joy Lopez-blaza (OWNER)
Authorized Official Contact9374150501
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glenda Lopez-blaza Md, Llc
8710 N Dixie Dr
Dayton
OH 45414-2406

Ph: (937) 415-0501
Glenda Lopez-blaza Md, Llc
8710 N Dixie Dr
Dayton
OH 45414-2406

Ph: (937) 415-0501

NPI Details:

NPI Number1033162169
Provider Enumeration Date05/18/2006
Last Update Date06/20/2011

Medicare PECOS Information:

Medicare PECOS PAC ID4486745163
Medicare Enrollment IDO20070809000514

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Medical Identifiers

Medical identifiers for Glenda Lopez-blaza Md, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033162169NPI-NPPES
0983002MedicaidOH
2988272MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Glenda Lopez-blaza Md, Llc acts as a billing entity for following providers:
Provider NameGlenda Lopez-blaza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356333967
PECOS PAC ID: 6901839737
Enrollment ID: I20100301000825

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