Judith Gomez, LAC in San Luis, AZ - Medicare Counselor Provider

Judith Gomez, LAC is a medicare enrolled "Counselor" provider in San Luis, Arizona. Her current practice location is 815 E Cesar Chavez Blvd, San Luis, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 627-3822.

Judith Gomez is licensed to practice in Arizona (license number LAC-16498) 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 1205481306.

Contact Information

	Judith Gomez, LAC
	815 E Cesar Chavez Blvd, San Luis, AZ 85349
	(928) 627-3822
	(928) 627-6666

Map and Direction

Healthcare Provider's Profile

Full Name	Judith Gomez
Gender	Female
Speciality	Counselor
Location	815 E Cesar Chavez Blvd, San Luis, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205481306
Provider Enumeration Date: 08/06/2019
Last Update Date: 08/06/2019

Medicare PECOS Information:

PECOS PAC ID: 0547609398
Enrollment ID: I20240412003860

Medical Identifiers

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

Identifier	Type	State	Issuer
1205481306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LAC-16498 (Arizona)	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. Judith Gomez allows following entities to bill medicare on her behalf.

Entity Name	Sunset Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962507376 PECOS PAC ID: 4587569843 Enrollment ID: O20031201000540

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. Judith 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
Judith Gomez, LAC Po Box 2017, San Luis, AZ 85349-2017 Ph: (928) 627-3822	Judith Gomez, LAC 815 E Cesar Chavez Blvd, San Luis, AZ 85349 Ph: (928) 627-3822

Reviews and Comments

Counselor in San Luis, AZ

Mr. Wesley William Lore, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 16487, San Luis, AZ 85349 Phone: 484-330-1837
Cynthia Acker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1508 N. 10th Ave, San Luis, AZ 85349 Phone: 928-627-6914
Carolina Prieto, PSY. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113
Mr. Martin J. Lara, MACC, LISAC, ALPC, P Counselor Medicare: Not Enrolled in Medicare Practice Location: 1453 N Main St. Suite F, San Luis, AZ 85349 Phone: 928-627-6567
Mrs. Martha Brown, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1453 N. Main St. Suite F, San Luis, AZ 85349 Phone: 928-627-6540 Fax: 928-627-3635
Jose Bucio, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 E Bruce Jackson Pl, San Luis, AZ 85336 Phone: 928-941-8799

Judith Gomez, LAC - Medicare Counselor in San Luis, AZ