105 MILLS AVE STE 300
LAS VEGAS, NM 87701-4169 US PECOS Enrolled
G. Michael Lopez
Internal Medicine Physician
- LAS VEGAS, NM
- Phone: (505)-425-9311
- Last Updated 7/9/2007
Overview
G. Michael Lopez is a Internal Medicine Physician in the LAS VEGAS area and has over 46 years of experience. G. Michael Lopez primary office location is at 105 MILLS AVE STE 300 and new patients are welcome to contact this healthcare provider for an appointment. He attended Stanford University School Of Medicine and graduated 1978
G. Michael Lopez is affiliated with four hospitals in the LAS VEGAS area, including . The NPI number is 1003973397 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| NM81-77 | NM |
| Board Certifications |
|---|
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| PRESBYTERIAN HEALTH PLAN | 201006000 | NM |
| HMO OF NEW MEXICO | 50013 | NM |
| MEDICAID | NM00007070 | NM |
| LOVELACE | 1991 | NM |
| BLUE CROSS BLUE SHIELD | NM001568 | NM |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | NM | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20110207000751 |
| PECOS Individual PAC ID: | 3678753779 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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