Teresita Gomez, - Medicare Family Medicine in Campbell, CA

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Teresita Gomez, is a medicare enrolled "Family Medicine - Sports Medicine" physician in Campbell, California. Her current practice location is 50 E Hamilton Ave Ste 120, Campbell, California. You can reach out to her office (for appointments etc.) via phone at (408) 357-1410.

Teresita Gomez is licensed to practice in California (license number A173769) 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 1174020192.

Contact Information

Teresita Gomez,
50 E Hamilton Ave Ste 120,
Campbell, CA 95008-0251
(408) 357-1410
Not Available

Map and Direction




Physician's Profile

Full NameTeresita Gomez
GenderFemale
SpecialityFamily Medicine - Sports Medicine
Location50 E Hamilton Ave Ste 120, Campbell, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174020192
  • Provider Enumeration Date: 04/06/2018
  • Last Update Date: 07/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820470891
  • Enrollment ID: I20220808001905

Medical Identifiers

Medical identifiers for Teresita Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174020192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A173769 (California)Secondary
207QS0010XFamily Medicine - Sports Medicine A173769 (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. Teresita Gomez allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameUniversity Healthcare Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760531198
PECOS PAC ID: 6305748799
Enrollment ID: O20040126000292
Entity NameIndian Health Center Of Santa Clara Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881997963
PECOS PAC ID: 1153406665
Enrollment ID: O20120126000250

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. Teresita 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
Teresita Gomez,
50 E Hamilton Ave Ste 120,
Campbell, CA 95008-0251

Ph: (408) 357-1410		Teresita Gomez,
50 E Hamilton Ave Ste 120,
Campbell, CA 95008-0251

Ph: (408) 357-1410

Reviews and Comments


Family Medicine Doctors in Campbell, CA

Elham J Louis, D.O.
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Dr. Michelle Doscas, MD
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Jeffrey Cheng-ta Peng, M.D.
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Elvia Lily Cadena, PA
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Practice Location: 3425 S Bascom Ave Ste 200, Campbell, CA 95008
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Dr. Svetlana Dani, M.D.
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Practice Location: 221 E Hacienda Ave Ste B, Campbell, CA 95008
Phone: 408-376-3350    Fax: 408-374-4130

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.