Jorge Manuel Gomez Vizcarra, - Medicare General Practice in Port St Lucie, FL

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Jorge Manuel Gomez Vizcarra, is a medicare enrolled "General Practice" physician in Port St Lucie, Florida. His current practice location is 1100 Sw Saint Lucie West Blvd Ste 209, Port St Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 204-8889.

Jorge Manuel Gomez Vizcarra is licensed to practice in Florida (license number ACN1356) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366911471.

Contact Information

Jorge Manuel Gomez Vizcarra,
1100 Sw Saint Lucie West Blvd Ste 209,
Port St Lucie, FL 34986-1735
(772) 204-8889
(772) 204-8895

Map and Direction




Physician's Profile

Full NameJorge Manuel Gomez Vizcarra
GenderMale
SpecialityGeneral Practice
Location1100 Sw Saint Lucie West Blvd Ste 209, Port St Lucie, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366911471
  • Provider Enumeration Date: 11/19/2018
  • Last Update Date: 01/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244635662
  • Enrollment ID: I20210824001388

Medical Identifiers

Medical identifiers for Jorge Manuel Gomez Vizcarra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366911471NPI-NPPES
111375300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 21111 (Puerto Rico)Secondary
208D00000XGeneral Practice ACN1356 (Florida)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. Jorge Manuel Gomez Vizcarra allows following entities to bill medicare on his behalf.
Entity NameCompassionate Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740200211
PECOS PAC ID: 5496788853
Enrollment ID: O20220901002672
Entity NameSunsouth Health Centers South Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114585643
PECOS PAC ID: 2365888955
Enrollment ID: O20240305004496

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. Jorge Manuel Gomez Vizcarra 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
Jorge Manuel Gomez Vizcarra,
1214 Mariner Blvd,
Spring Hill, FL 34609-5657

Ph: (352) 277-5305		Jorge Manuel Gomez Vizcarra,
1100 Sw Saint Lucie West Blvd Ste 209,
Port St Lucie, FL 34986-1735

Ph: (772) 204-8889

Reviews and Comments


General Practice Doctors in Port St Lucie, FL

Regine Dorvil, MD
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Phone: 772-353-5716    Fax: 844-367-0091
Debbie Michelle Sevilla, MD
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Dr. Jean-marie G Eugene, M.D.
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Dr. John R Collins, D.O,
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Dr. Chacko Nebu, M.D.
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Practice Location: 7025 Oleander Ave, Port St Lucie, FL 34952
Phone: 609-744-4133    Fax: 772-882-5166

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.