Yaritza Serrano Gomez, MD is a medicare enrolled "Dermatology" physician in Bayonne, New Jersey. Her current practice location is
668 Broadway, Bayonne, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 456-7777.
Yaritza Serrano Gomez is licensed to practice in New Jersey (license number 25MA12366700) 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 1376030015.
Physician's Profile
Full Name | Yaritza Serrano Gomez |
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Gender | Female |
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Speciality | Dermatology |
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Location | 668 Broadway, Bayonne, New Jersey |
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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: 1376030015
- Provider Enumeration Date: 04/18/2018
- Last Update Date: 01/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507192531
- Enrollment ID: I20221025001846
Medical Identifiers
Medical identifiers for Yaritza Serrano Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376030015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | T9979 (Texas) | Secondary |
207N00000X | Dermatology | 25MA12366700 (New Jersey) | 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. Yaritza Serrano Gomez allows following entities to bill medicare on her behalf.
Entity Name | Samaritan Hospital Of Troy, New York |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
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Entity Name | St Peters Hospital Of The City Of Albany |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301 |
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Entity Name | St Josephs Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
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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. Yaritza Serrano 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 |
Yaritza Serrano Gomez, MD 317 Avenue E Apt B411, Bayonne, NJ 07002-7320 Ph: () - | Yaritza Serrano Gomez, MD 668 Broadway, Bayonne, NJ 07002-4726 Ph: (732) 456-7777 |
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