Blanca Gomez, is a medicare enrolled "Nurse Practitioner - Family" in Rancho Viejo, Texas. Her current practice location is
3500 Carmen Ave Apt 1408, Rancho Viejo, Texas. You can reach out to her office (for appointments etc.) via phone at
(956) 247-7000.
Blanca Gomez is licensed to practice in Texas (license number AP128359) 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 1164807780.
Provider's Profile
| Full Name | Blanca Gomez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3500 Carmen Ave Apt 1408, Rancho Viejo, Texas |
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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: 1164807780
- Provider Enumeration Date: 07/24/2015
- Last Update Date: 07/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 3274800321
- Enrollment ID: I20170522001826
Medical Identifiers
Medical identifiers for Blanca Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164807780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP128359 (Texas) | 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. Blanca Gomez allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699869875
PECOS PAC ID: 6800707100
Enrollment ID: O20040715001116 |
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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. Blanca 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 |
|---|
Blanca Gomez,
3500 Carmen Ave Apt 1408,
Rancho Viejo, TX 78575-9577
Ph: (956) 247-7000 | Blanca Gomez,
3500 Carmen Ave Apt 1408,
Rancho Viejo, TX 78575-9577
Ph: (956) 247-7000 |
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