Mizraim Gomez, CRNA in San Antonio, TX - Medicare Nurse Anesthetist, Certified Registered

Mizraim Gomez, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Antonio, Texas. His current practice location is 4502 Medical Dr, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 358-0572.

Mizraim Gomez is licensed to practice in Texas (license number 1126946) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023798519.

Contact Information

	Mizraim Gomez, CRNA
	4502 Medical Dr, San Antonio, TX 78229-4402
	(210) 358-0572
	Not Available

Map and Direction

Provider's Profile

Full Name	Mizraim Gomez
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4502 Medical Dr, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023798519
Provider Enumeration Date: 07/20/2023
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1759744295
Enrollment ID: I20230830003508

Medical Identifiers

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

Identifier	Type	State	Issuer
1023798519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1126946 (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. Mizraim Gomez allows following entities to bill medicare on his behalf.

Entity Name	Community Medicine Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245313329 PECOS PAC ID: 7719979509 Enrollment ID: O20040401000372

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. Mizraim 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
Mizraim Gomez, CRNA 903 W Martin St, San Antonio, TX 78207-0903 Ph: (210) 358-0572	Mizraim Gomez, CRNA 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 358-0572

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Antonio, TX

Daniel Travis Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-0811
Mrs. Claire Leleux Beadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4911
Nnenna Awagu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500
Mrs. Sherilyn Kaye Medina, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000
Brent Duffield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-916-9100
Stephanie Elise Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11212 Highway 151, San Antonio, TX 78251 Phone: 210-703-8000

Mizraim Gomez, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Antonio, TX