Rossana Lopez Md Pa - Medicare Primary Care in Hialeah, FL

Rossana Lopez Md Pa is a medicare enrolled primary clinic (Internal Medicine) in Hialeah, Florida. The current practice location for Rossana Lopez Md Pa is 777 E 25th St, Suite 516, Hialeah, Florida. For appointments, you can reach them via phone at (305) 836-1696. The mailing address for Rossana Lopez Md Pa is 3511 Sw 100th Ave, Miami, Florida and phone number is (305) 836-1696.

Rossana Lopez Md Pa is licensed to practice in Florida (license number ME64156). The clinic also participates in the medicare program and its NPI number is 1013262377. 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 (305) 836-1696.

Contact Information

Rossana Lopez Md Pa
777 E 25th St
Suite 516
Hialeah
FL 33013-3825
(305) 836-1696
(305) 836-1698

Primary Care Clinic Profile

Full NameRossana Lopez Md Pa
SpecialityInternal Medicine
Location777 E 25th St, Hialeah, Florida
Authorized Official Name and PositionRossana Lopez (OWNER)
Authorized Official Contact3058361696
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rossana Lopez Md Pa
3511 Sw 100th Ave
Miami
FL 33165-3846

Ph: (305) 836-1696
Rossana Lopez Md Pa
777 E 25th St
Suite 516
Hialeah
FL 33013-3825

Ph: (305) 836-1696

NPI Details:

NPI Number1013262377
Provider Enumeration Date07/23/2012
Last Update Date07/23/2012

Medicare PECOS Information:

Medicare PECOS PAC ID5294985032
Medicare Enrollment IDO20121101000193

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Medical Identifiers

Medical identifiers for Rossana Lopez Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013262377NPI-NPPES
374037400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME64156 (Florida)Primary
2084P0800XPsychiatry & Neurology - Psychiatry ME64156 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rossana Lopez Md Pa acts as a billing entity for following providers:
Provider NameRossana Lopez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326159385
PECOS PAC ID: 3476563438
Enrollment ID: I20060504000623

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Provider NameAmerica Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447737309
PECOS PAC ID: 4385054782
Enrollment ID: I20201112002640

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