Mrs Angelica Gomez, NURSE PRACTITIONER F is a medicare enrolled "Nurse Practitioner" in Kenasha, Wisconsin. Her current practice location is
6127 Greenbay Road-sinus And Snoring Md, Suite 100, Kenasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 425-9108.
Mrs Angelica Gomez is licensed to practice in Wisconsin (license number 11797-33) 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 1558015420.
Provider's Profile
Full Name | Mrs Angelica Gomez |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 6127 Greenbay Road-sinus And Snoring Md, Kenasha, Wisconsin |
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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: 1558015420
- Provider Enumeration Date: 02/09/2022
- Last Update Date: 04/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597151878
- Enrollment ID: I20220413002851
Medical Identifiers
Medical identifiers for Mrs Angelica Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558015420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 209.029499 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 319095-31 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 11797-33 (Wisconsin) | 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. Mrs Angelica Gomez allows following entities to bill medicare on her behalf.
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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Entity Name | Ear Nose And Throat Family Clinic Of Wisconsin Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578650164 PECOS PAC ID: 7911997655 Enrollment ID: O20040514000926 |
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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. Mrs Angelica 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 |
Mrs Angelica Gomez, NURSE PRACTITIONER F 6127 Greenbay Road-sinus And Snoring Md, Suite 100, Kenasha, WI 53140 Ph: (262) 425-9108 | Mrs Angelica Gomez, NURSE PRACTITIONER F 6127 Greenbay Road-sinus And Snoring Md, Suite 100, Kenasha, WI 53140 Ph: (262) 425-9108 |
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