Mr David Julian Gomez, CRNA in Fort Worth, TX - Medicare Nurse Anesthetist, Certified Registered

Mr David Julian Gomez, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Worth, Texas. His current practice location is 1301 Pennsylvania Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 882-3680.

Mr David Julian Gomez is licensed to practice in North Carolina (license number 222218) 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 1487631610.

Contact Information

	Mr David Julian Gomez, CRNA
	1301 Pennsylvania Ave, Fort Worth, TX 76104-2122
	(817) 882-3680
	(817) 878-5135

Map and Direction

Provider's Profile

Full Name	Mr David Julian Gomez
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1301 Pennsylvania Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487631610
Provider Enumeration Date: 12/29/2005
Last Update Date: 02/10/2009

Medicare PECOS Information:

PECOS PAC ID: 9830172352
Enrollment ID: I20080408000696

Medical Identifiers

Medical identifiers for Mr David Julian Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487631610	NPI	-	NPPES
165514404	Medicaid	TX
8053121	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	667146 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	222218 (North Carolina)	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. Mr David Julian Gomez allows following entities to bill medicare on his behalf.

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

Entity Name	Regional Anesthesia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952486946 PECOS PAC ID: 3779681408 Enrollment ID: O20070604000698

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. Mr David Julian 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
Mr David Julian Gomez, CRNA 13601 Preston Rd, Suite 900w, Dallas, TX 75240-4911 Ph: (972) 233-1999	Mr David Julian Gomez, CRNA 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 Ph: (817) 882-3680

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Worth, TX

Mr. John Paul Schreiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 S Hulen St Ste 425, Fort Worth, TX 76109 Phone: 817-731-2875
Allyson Evans, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 801-792-5267
Terri D. Kane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 888-804-3000 Fax: 817-334-0235
Dr. Shaquitta Nicole Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-702-3431
Ms. Patricia L. Gillum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-882-3680 Fax: 817-878-5135
Erin Lenora Schwarz, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-926-2544
Anthony Casey Randolph, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-920-6864

Mr David Julian Gomez, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Worth, TX