Stephanie Lopez, - Medicare Psychologist in San Rafael, CA

Stephanie Lopez, is a medicare enrolled "Psychologist" provider in San Rafael, California. Her current practice location is 111 Smith Ranch Rd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 491-3127.

Stephanie Lopez is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043777618.

Contact Information

Stephanie Lopez,
111 Smith Ranch Rd,
San Rafael, CA 94903-1939
(415) 491-3127
Not Available



Healthcare Provider's Profile

Full NameStephanie Lopez
GenderFemale
SpecialityPsychologist
Location111 Smith Ranch Rd, San Rafael, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043777618
  • Provider Enumeration Date: 03/01/2019
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901201474
  • Enrollment ID: I20210820002009

Medical Identifiers

Medical identifiers for Stephanie Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043777618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Lopez allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Stephanie 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
Stephanie Lopez,
111 Smith Ranch Rd,
San Rafael, CA 94903-1939

Ph: (415) 491-3127
Stephanie Lopez,
111 Smith Ranch Rd,
San Rafael, CA 94903-1939

Ph: (415) 491-3127

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Since its launch in 2007, the Interactive Autism Network (IAN) has helped to accelerate the pace of autism research by gathering valuable information online from individuals on the autism spectrum and their parents. Today, the IAN Project launches the Grandparents of Children with Autism Spectrum Disorders Survey, giving grandparents a well-deserved voice in the autism research community.

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Psychologist in San Rafael, CA

Miss Geeta Ann Davidson, M.S.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 20 N San Pedro Rd, San Rafael, CA 94903
Phone: 415-473-7637    
Dr. Leslie Frances Chatham, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903
Phone: 415-444-3522    Fax: 415-444-3019
Dr. Carol H Pollard, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 16 Jeanette Prandi Way, Marin Co Juvenile Hall, San Rafael, CA 94903
Phone: 415-499-6894    
Dr. Ann Gold Buscho, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 711 D St, Suite 207, San Rafael, CA 94901
Phone: 415-456-0952    
Dr. Boukje Elisabeth Eerkens, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1050 Northgate Dr Ste 12, San Rafael, CA 94903
Phone: 415-272-3406    Fax: 415-300-3086
Dr. Ali Navarro, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903
Phone: 415-444-3522    Fax: 415-444-3019

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