Ginette Gomez, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in St.clair Shores, Michigan. Her current practice location is
25631 Little Mack Ave, St.clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 423-2410.
Ginette Gomez is licensed to practice in Michigan (license number 5101014609) 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 1104840271.
Physician's Profile
Full Name | Ginette Gomez |
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Gender | Female |
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Speciality | Internal Medicine - Cardiovascular Disease |
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Location | 25631 Little Mack Ave, St.clair Shores, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104840271
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 02/27/2009
Medicare PECOS Information:
- PECOS PAC ID: 5890792881
- Enrollment ID: I20061106000229
Medical Identifiers
Medical identifiers for Ginette Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104840271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 5101014609 (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. Ginette Gomez allows following entities to bill medicare on her behalf.
Entity Name | Healthspan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245086750 PECOS PAC ID: 9234674870 Enrollment ID: O20240708003946 |
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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. Ginette 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 |
Ginette Gomez, DO 3601 W. 13 Mile Road, 400 Fsc/ Pcs, Royal Oak, MI 48073-6769 Ph: (248) 423-2410 | Ginette Gomez, DO 25631 Little Mack Ave, St.clair Shores, MI 48080 Ph: (248) 423-2410 |
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