Gustavo Gomez, MD - Medicare Family Practice in Lagrange, OH

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Gustavo Gomez, MD is a medicare enrolled "Family Medicine" physician in Lagrange, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Health Physicians Lorain Specialty Care Llc, Mercy Health-allen Hospital Llc and 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.

Contact Information

Gustavo Gomez, MD
105 Opportunity Way,
Lagrange, OH 44050-9018
(440) 222-4160
(440) 355-4213

Map and Direction




Physician's Profile

Full NameGustavo Gomez
GenderMale
SpecialityFamily Practice
Experience12 Years
Location105 Opportunity Way, Lagrange, Ohio
Accepts Medicare AssignmentsYes. 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 Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2012
  NPI Data:
  • NPI Number: 1699031088
  • Provider Enumeration Date: 04/10/2012
  • Last Update Date: 11/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3173759974
  • Enrollment ID: I20160920000510

Medical Identifiers

Medical identifiers for Gustavo Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699031088NPI-NPPES
0179466MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35.128395 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health-home Care, Lorain CountyLorain, OHHome health agency
Mercy Allen HospitalOberlin, OHHospital
Mercy Regional Medical CenterLorain, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians Lorain Specialty Care Llc4688070055115
Mercy Health-allen Hospital Llc509280238914

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. Gustavo Gomez allows following entities to bill medicare on his behalf.
Entity NameMercy Health-allen Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801825997
PECOS PAC ID: 5092802389
Enrollment ID: O20080731000059
Entity NameMercy Health Physicians Lorain Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023347192
PECOS PAC ID: 1355474172
Enrollment ID: O20100730000651
Entity NameMercy Health Physicians Lorain Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126381
PECOS PAC ID: 4688070055
Enrollment ID: O20210909003432

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 AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Lagrange, OH


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.