Gustavo Gomez, MD is a medicare enrolled "Family Medicine" physician in Lagrange, Ohio. His current practice location is
105 Opportunity Way, Lagrange, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 222-4160.
Gustavo Gomez is licensed to practice in Ohio (license number 35.128395) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699031088.
Physician's Profile
Full Name | Gustavo Gomez |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 105 Opportunity Way, Lagrange, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Gustavo Gomez attended and graduated from in
NPI Data:
- NPI Number: 1699031088
- Provider Enumeration Date: 04/10/2012
- Last Update Date: 11/29/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Gustavo Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699031088 | NPI | - | NPPES |
0179466 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 35.128395 (Ohio) | Primary |
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. Gustavo 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 |
Gustavo Gomez, MD 1957 Cooper Foster Park Rd, Amherst, OH 44001-1207 Ph: (440) 989-3801 | Gustavo Gomez, MD 105 Opportunity Way, Lagrange, OH 44050-9018 Ph: (440) 222-4160 |
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