Jessica Lane Gomillion, PA is a medicare enrolled "Physician Assistant" physician in Ocala, Florida. Her current practice location is
2300 Se 17th St, St 500, Ocala, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 867-0444.
Jessica Lane Gomillion is licensed to practice in Florida (license number PA9102830) 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 1548283799.
Physician's Profile
Full Name | Jessica Lane Gomillion |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2300 Se 17th St, Ocala, Florida |
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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: 1548283799
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 02/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557360245
- Enrollment ID: I20061206000357
Medical Identifiers
Medical identifiers for Jessica Lane Gomillion such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548283799 | NPI | - | NPPES |
292525700 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA9102830 (Florida) | Secondary |
363A00000X | Physician Assistant | PA9102830 (Florida) | 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. Jessica Lane Gomillion 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 |
Jessica Lane Gomillion, PA 2300 Se 17th St, St 500, Ocala, FL 34471-9107 Ph: () - | Jessica Lane Gomillion, PA 2300 Se 17th St, St 500, Ocala, FL 34471-9107 Ph: (352) 867-0444 |
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