Mariela Gomez, CRNA in Springfield, IL - Medicare Registered Nurse

Mariela Gomez, CRNA is a medicare enrolled "Registered Nurse" in Springfield, Illinois. Her current practice location is 701 N 1st St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 788-3000.

Mariela Gomez is licensed to practice in Illinois (license number 041472630) 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 1407584220.

Contact Information

	Mariela Gomez, CRNA
	701 N 1st St, Springfield, IL 62781-0001
	(217) 788-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariela Gomez
Gender	Female
Speciality	Registered Nurse
Location	701 N 1st St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407584220
Provider Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9931585114
Enrollment ID: I20220927000532

Medical Identifiers

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

Identifier	Type	State	Issuer
1407584220	NPI	-	NPPES
041.472630	Other	IL	RN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041472630 (Illinois)	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. Mariela Gomez allows following entities to bill medicare on her behalf.

Entity Name	Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255393112 PECOS PAC ID: 7315835949 Enrollment ID: O20040713000579

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. Mariela 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
Mariela Gomez, CRNA Po Box 3428, Springfield, IL 62708-3428 Ph: (217) 788-3000	Mariela Gomez, CRNA 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3000

Reviews and Comments

Registered Nurse Nurses in Springfield, IL

Dr. Elizabeth Fern Gephart, RN, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 N 16th St, Springfield, IL 62703 Phone: 217-525-6522
Heather Nicole Fulhorst, FNP-BC Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 2239 E Cook St, Springfield, IL 62703 Phone: 217-788-2300
Kathy S Celletti, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711 Phone: 217-547-9100 Fax: 217-547-9247
Jeannette A. Wells, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 710 N 8th St, Springfield, IL 62702 Phone: 217-525-1064 Fax: 217-525-1651
Patrick O'brien, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 Fax: 217-757-6537
Britanie Lee Sumpter, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464
Elizabeth Ann Barno, RN.DT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1905 Creighton Rd, Springfield, IL 62703 Phone: 217-585-1975 Fax: 217-585-1875

Mariela Gomez, CRNA - Medicare Registered Nurse in Springfield, IL