Kelly Gomez, MS, RDN, CD, LD in Salt Lake City, UT - Medicare Registered Dietitian Or Nutrition Professional Provider

Kelly Gomez, MS, RDN, CD, LD is a medicare enrolled "Dietitian, Registered" provider in Salt Lake City, Utah. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Nourish, Inc. and her current practice location is 5263 S Commerce Dr Ste 201, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 882-7802.

Kelly Gomez is licensed to practice in Utah (license number 12415870-4901) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114676558.

Contact Information

	Kelly Gomez, MS, RDN, CD, LD
	5263 S Commerce Dr Ste 201, Salt Lake City, UT 84107-5306
	(801) 882-7802
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Gomez
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	4 Years
Location	5263 S Commerce Dr Ste 201, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Gomez graduated from medical school in 2021

NPI Data:

NPI Number: 1114676558
Provider Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4880033778
Enrollment ID: I20240411001391

Medical Identifiers

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

Identifier	Type	State	Issuer
1114676558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	12415870-4901 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nourish, Inc.	1557724937	251

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. Kelly Gomez allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Kelly 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
Kelly Gomez, MS, RDN, CD, LD 5263 S Commerce Dr Ste 201, Salt Lake City, UT 84107-5306 Ph: () -	Kelly Gomez, MS, RDN, CD, LD 5263 S Commerce Dr Ste 201, Salt Lake City, UT 84107-5306 Ph: (801) 882-7802

Reviews and Comments

Dietitian, Registered in Salt Lake City, UT

Andrea Addley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1174 E Graystone Way Ste 1a, Salt Lake City, UT 84106 Phone: 801-664-2182
Ms. Erinn Meyer, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8th Ave & C St, Salt Lake City, UT 84143 Phone: 804-408-1760
Fuel2flourish Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2099 E 3205 S, Salt Lake City, UT 84109 Phone: 301-233-6634
Krista Skye Viau, MS, RD, CSP, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-587-9590
Amelia Pape, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2079 S 1200 E Unit 210, Salt Lake City, UT 84105 Phone: 970-231-7392
Ana Paula Coronel Olivas, PSM, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd # 120, Salt Lake City, UT 84148 Phone: 801-582-1565
Dakota Wren Chetrit, PA-C, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 565 S Komas Dr, Salt Lake City, UT 84108 Phone: 801-584-5144

Kelly Gomez, MS, RDN, CD, LD - Medicare Dietitian in Salt Lake City, UT