Wylie Elauria Gomez, MD in Philadelphia, PA - Medicare Diagnostic Radiology

Wylie Elauria Gomez, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mori Bean And Brooks Inc and his current practice location is 245 N 15th St, Mail Stop 427, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 762-7916.

Wylie Elauria Gomez is licensed to practice in Arizona (license number 54626) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588927602.

Contact Information

	Wylie Elauria Gomez, MD
	245 N 15th St, Mail Stop 427, Philadelphia, PA 19102-1101
	(215) 762-7916
	Not Available

Map and Direction

Physician's Profile

Full Name	Wylie Elauria Gomez
Gender	Male
Speciality	Diagnostic Radiology
Experience	12 Years
Location	245 N 15th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wylie Elauria Gomez graduated from medical school in 2012

NPI Data:

NPI Number: 1588927602
Provider Enumeration Date: 06/22/2012
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 1153602834
Enrollment ID: I20211117002745

Medical Identifiers

Medical identifiers for Wylie Elauria Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588927602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MT202797 (Pennsylvania)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	54626 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brandon Regional Hospital	Brandon, FL	Hospital
Memorial Hospital Of Tampa	Tampa, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mori Bean And Brooks Inc	8820077878	647

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. Wylie Elauria Gomez allows following entities to bill medicare on his behalf.

Entity Name	Mori Bean And Brooks Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317

Entity Name	Tampa Bay Radiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518914977 PECOS PAC ID: 1456381136 Enrollment ID: O20050813000096

Entity Name	Sheridan Radiology Services Of Pinellas Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609211432 PECOS PAC ID: 7517119407 Enrollment ID: O20121128000124

Entity Name	Radiology Physician Solutions Of West Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104205046 PECOS PAC ID: 3577876218 Enrollment ID: O20150723008463

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. Wylie Elauria 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
Wylie Elauria Gomez, MD 245 N 15th St, Mail Stop 427, Philadelphia, PA 19102-1101 Ph: (215) 762-7916	Wylie Elauria Gomez, MD 245 N 15th St, Mail Stop 427, Philadelphia, PA 19102-1101 Ph: (215) 762-7916

Reviews and Comments

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Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562
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Wylie Elauria Gomez, MD - Medicare Diagnostic Radiology in Philadelphia, PA