Chloe Gomez, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grand Terrace, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
11877 Honey Hill Dr, Grand Terrace, California. You can reach out to her office (for appointments etc.) via phone at
(909) 835-3241.
Chloe Gomez is licensed to practice in California (license number 842779) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912452368.
Provider's Profile
| Full Name | Chloe Gomez |
|---|
| Gender | Female |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 8 Years |
|---|
| Location | 11877 Honey Hill Dr, Grand Terrace, California |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Chloe Gomez graduated from nursing school in 2016
NPI Data:
- NPI Number: 1912452368
- Provider Enumeration Date: 08/15/2016
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658659735
- Enrollment ID: I20161024002598
Medical Identifiers
Medical identifiers for Chloe Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912452368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 842779 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Chloe Gomez allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
|---|
| Entity Name | Southern California Permanente Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
|---|
| Entity Name | Palm Springs Anesthesia Services Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1083928501
PECOS PAC ID: 6406049592
Enrollment ID: O20101021000600 |
|---|
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. Chloe 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 |
|---|
Chloe Gomez,
11877 Honey Hill Dr,
Grand Terrace, CA 92313-5301
Ph: (909) 835-3241 | Chloe Gomez,
11877 Honey Hill Dr,
Grand Terrace, CA 92313-5301
Ph: (909) 835-3241 |
Reviews and Comments