Alexandria Gomola, DMD in Saint Joseph, MI

Alexandria Gomola, DMD is a medicare enrolled "Dentist - General Practice" provider in Saint Joseph, Michigan. Her current practice location is 3386 Niles Rd, Saint Joseph, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 281-8080.

Alexandria Gomola is licensed to practice in Michigan (license number 2901601151) 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 1780357608.

Contact Information

	Alexandria Gomola, DMD
	3386 Niles Rd, Saint Joseph, MI 49085-8800
	(269) 281-8080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexandria Gomola
Gender	Female
Speciality	Dentist - General Practice
Location	3386 Niles Rd, Saint Joseph, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780357608
Provider Enumeration Date: 07/27/2021
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1153717210
Enrollment ID: I20220330000930

Medical Identifiers

Medical identifiers for Alexandria Gomola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780357608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	1002641-15 (Wisconsin)	Secondary
1223G0001X	Dentist - General Practice	2901601151 (Michigan)	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. Alexandria Gomola allows following entities to bill medicare on her behalf.

Entity Name	Henderson County Rural Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548314834 PECOS PAC ID: 3577596030 Enrollment ID: O20100824000623

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. Alexandria Gomola 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
Alexandria Gomola, DMD 906 Lions Park Dr, Saint Joseph, MI 49085-1019 Ph: (708) 990-7110	Alexandria Gomola, DMD 3386 Niles Rd, Saint Joseph, MI 49085-8800 Ph: (269) 281-8080

Reviews and Comments

Dentist in Saint Joseph, MI

Dr. David Scott Miller, DDS Dentist Medicare: Medicare Enrolled Practice Location: 824 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-4371 Fax: 269-983-5304
Dr. Chase Dunn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3386 Niles Rd, Saint Joseph, MI 49085 Phone: 269-281-8080
Dr. Kyle Lon Vonk, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2607 S Cleveland Ave, Saint Joseph, MI 49085 Phone: 269-428-4430 Fax: 269-428-0037
Dr. Cristina - Westenburg, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2460 Lakeshore Dr, Saint Joseph, MI 49085 Phone: 269-983-5583 Fax: 269-983-5663
Dr. Gregg Allan Marr, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 455 Upton Dr, Saint Joseph, MI 49085 Phone: 269-983-7881 Fax: 269-983-7871
Dr. Lisa A Mcshane, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2800 Niles Rd, Saint Joseph, MI 49085 Phone: 269-429-2511
Dr. Shelley Ann Wilson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2460 Lakeshore Dr, Saint Joseph, MI 49085 Phone: 269-983-5583 Fax: 269-983-5663

Alexandria Gomola, DMD - Medicare Dentist in Saint Joseph, MI