Jackeline Priscilla Vajta Gomez, MD in San Francisco, CA

Jackeline Priscilla Vajta Gomez, MD is a medicare enrolled "Hospitalist" physician in San Francisco, California. Her current practice location is 505 Parnassus Ave, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 514-1378.

Jackeline Priscilla Vajta Gomez is licensed to practice in California (license number A191234) 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 1528695277.

Contact Information

	Jackeline Priscilla Vajta Gomez, MD
	505 Parnassus Ave, San Francisco, CA 94143
	(415) 514-1378
	(415) 514-2094

Map and Direction

Physician's Profile

Full Name	Jackeline Priscilla Vajta Gomez
Gender	Female
Speciality	Hospitalist
Location	505 Parnassus Ave, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528695277
Provider Enumeration Date: 03/24/2020
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2365868346
Enrollment ID: I20231110002625

Medical Identifiers

Medical identifiers for Jackeline Priscilla Vajta Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528695277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	A191234 (California)	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. Jackeline Priscilla Vajta Gomez allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Jackeline Priscilla Vajta 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
Jackeline Priscilla Vajta Gomez, MD 505 Parnassus Ave, San Francisco, CA 94143 Ph: (415) 514-1378	Jackeline Priscilla Vajta Gomez, MD 505 Parnassus Ave, San Francisco, CA 94143 Ph: (415) 514-1378

Reviews and Comments

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Jackeline Priscilla Vajta Gomez, MD - Medicare Hospitalist in San Francisco, CA