Dr Gustavo Alberto De Jesus-gomez, MD | |
5325 Us Hwy 98 S, Lakeland, FL 33812-3381 | |
(863) 937-3139 | |
(863) 937-3147 |
Full Name | Dr Gustavo Alberto De Jesus-gomez |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 22 Years |
Location | 5325 Us Hwy 98 S, Lakeland, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033314190 | NPI | - | NPPES |
14JQ2 | Other | FL | BCBS OF FLORIDA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25992 (Puerto Rico) | Secondary |
208600000X | Surgery | ME112008 (Florida) | Secondary |
2086S0129X | Surgery - Vascular Surgery | ME112008 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Regional Medical Center | Lakeland, FL | Hospital |
Bartow Regional Medical Center | Bartow, FL | Hospital |
Winter Haven Hospital | Winter haven, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vein And Vascular Experts Pllc | 7618235839 | 4 |
Entity Name | Vein & Vascular Experts Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689196248 PECOS PAC ID: 7618235839 Enrollment ID: O20171218000841 |
Mailing Address | Practice Location Address |
---|---|
Dr Gustavo Alberto De Jesus-gomez, MD Po Box 1328, Highland City, FL 33846-1328 Ph: (863) 937-3139 | Dr Gustavo Alberto De Jesus-gomez, MD 5325 Us Hwy 98 S, Lakeland, FL 33812-3381 Ph: (863) 937-3139 |
Mr. Tami Lynn Hower, ARNP Surgery Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1321 Fax: 863-603-6534 | |
Philip K. Thomas, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4428 Sugartree Dr E, Lakeland, FL 33813 Phone: 863-644-2704 | |
Dr. Toan Thien Nguyen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3525 Lakeland Hills Blvd # D, Lakeland, FL 33805 Phone: 863-603-6565 Fax: 863-603-6554 | |
Ann Laurel Licht, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7214 Fax: 866-264-8519 | |
Diana A Burgueno Vega, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo Street, Lakeland, FL 33803 Phone: 863-284-5941 Fax: 863-284-5199 | |
Manuel Alberto Molina-vega, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3525 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-603-6565 Fax: 863-904-1961 |