Kirsten A Gomez, LCSW in Fort Worth, TX - Medicare Social Worker Provider

Kirsten A Gomez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Worth, Texas. Her current practice location is 901 7th Ave Ste 4124, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-7439.

Kirsten A Gomez is licensed to practice in Texas (license number 66673) 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 1124667753.

Contact Information

	Kirsten A Gomez, LCSW
	901 7th Ave Ste 4124, Fort Worth, TX 76104-2722
	(682) 885-7439
	(682) 885-1672

Map and Direction

Healthcare Provider's Profile

Full Name	Kirsten A Gomez
Gender	Female
Speciality	Social Worker - Clinical
Location	901 7th Ave Ste 4124, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124667753
Provider Enumeration Date: 12/30/2019
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 7911347216
Enrollment ID: I20240503001492

Medical Identifiers

Medical identifiers for Kirsten A Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124667753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	66673 (Texas)	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. Kirsten A Gomez allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Kirsten A Gomez 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
Kirsten A Gomez, LCSW Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-1860	Kirsten A Gomez, LCSW 901 7th Ave Ste 4124, Fort Worth, TX 76104-2722 Ph: (682) 885-7439

Reviews and Comments

Social Worker in Fort Worth, TX

Scharlyn R Henderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Catherine Collier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Tremont Ave, Fort Worth, TX 76107 Phone: 817-732-4035
Miss Bethany Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4686 Bristol Trace Trl, Fort Worth, TX 76244 Phone: 817-705-1586
Catherine Rice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6778 Camp Bowie Blvd Ste 229, Fort Worth, TX 76116 Phone: 682-703-1311
Yolanda Wilson Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4300
Tela Hedberg Thornton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3200 Sanguinet St, Fort Worth, TX 76107 Phone: 817-255-2652 Fax: 817-255-2657
Ms. Mara Lynn Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6421 Camp Bowie Blvd, Suite 417, Fort Worth, TX 76116 Phone: 817-919-6957 Fax: 817-919-9287

Kirsten A Gomez, LCSW - Medicare Clinical Social Worker in Fort Worth, TX