Rafael Gomez, MD is a medicare enrolled "Emergency Medicine" physician in Mena, Arkansas. His current practice location is
311 Morrow St N, Mena, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 243-2333.
Rafael Gomez is licensed to practice in Arkansas (license number C7819) 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 1447207923.
Physician's Profile
| Full Name | Rafael Gomez |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 311 Morrow St N, Mena, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447207923
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2860590791
- Enrollment ID: I20070531000185
Medical Identifiers
Medical identifiers for Rafael Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447207923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | C7819 (Arkansas) | 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. Rafael Gomez allows following entities to bill medicare on his behalf.
| Entity Name | Medical Group Of The Ozarks Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407590805
PECOS PAC ID: 2264811017
Enrollment ID: O20220624000665 |
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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. Rafael 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 |
|---|
Rafael Gomez, MD
311 Morrow St N,
Mena, AR 71953-2516
Ph: (479) 243-2333 | Rafael Gomez, MD
311 Morrow St N,
Mena, AR 71953-2516
Ph: (479) 243-2333 |
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