Sally Gomes, LCSW in San Diego, CA - Medicare Counselor Provider

Sally Gomes, LCSW is a medicare enrolled "Counselor - Mental Health" provider in San Diego, California. Her current practice location is 6924 Hyde Park Dr Unit 220, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (270) 903-2366.

Sally Gomes is licensed to practice in California (license number 107155) 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 1396206082.

Contact Information

	Sally Gomes, LCSW
	6924 Hyde Park Dr Unit 220, San Diego, CA 92119-2264
	(270) 903-2366
	(619) 275-8004

Map and Direction

Healthcare Provider's Profile

Full Name	Sally Gomes
Gender	Female
Speciality	Counselor - Mental Health
Location	6924 Hyde Park Dr Unit 220, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396206082
Provider Enumeration Date: 03/26/2019
Last Update Date: 04/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3577929173
Enrollment ID: I20230524003088

Medical Identifiers

Medical identifiers for Sally Gomes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396206082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	107155 (California)	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. Sally Gomes allows following entities to bill medicare on her behalf.

Entity Name	Monica Perlman Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134309305 PECOS PAC ID: 8820035884 Enrollment ID: O20050411001333

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. Sally Gomes 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
Sally Gomes, LCSW 6924 Hyde Park Dr Unit 220, San Diego, CA 92119-2264 Ph: (270) 903-2366	Sally Gomes, LCSW 6924 Hyde Park Dr Unit 220, San Diego, CA 92119-2264 Ph: (270) 903-2366

Reviews and Comments

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Sally Gomes, LCSW - Medicare Counselor in San Diego, CA