Mr Enrique Daniel Gomez Jr, NP in Glendale, CA

Mr Enrique Daniel Gomez Jr, NP is a medicare enrolled "Nurse Practitioner" in Glendale, California. He went to University Of California, Geffen School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Badr Medical Corporation and his current practice location is 1500 E Chevy Chase Dr # 204, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 827-3898.

Mr Enrique Daniel Gomez Jr is licensed to practice in California (license number 95006986) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164945564.

Contact Information

	Mr Enrique Daniel Gomez Jr, NP
	1500 E Chevy Chase Dr # 204, Glendale, CA 91206-4152
	(818) 827-3898
	(818) 827-3897

Map and Direction

Provider's Profile

Full Name	Mr Enrique Daniel Gomez Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1500 E Chevy Chase Dr # 204, Glendale, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Enrique Daniel Gomez Jr attended and graduated from University Of California, Geffen School Of Medicine in 2017

NPI Data:

NPI Number: 1164945564
Provider Enumeration Date: 07/18/2017
Last Update Date: 09/16/2019

Medicare PECOS Information:

PECOS PAC ID: 1153697560
Enrollment ID: I20171030000710

Medical Identifiers

Medical identifiers for Mr Enrique Daniel Gomez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164945564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95006986 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Glendale Adventist Medical Center	Glendale, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Badr Medical Corporation	4183855083	3

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 Enrique Daniel Gomez Jr allows following entities to bill medicare on his behalf.

Entity Name	Badr Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871920652 PECOS PAC ID: 4183855083 Enrollment ID: O20140318000251

Entity Name	St. Joseph Intensivist Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801302484 PECOS PAC ID: 6608137757 Enrollment ID: O20180306001106

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 Enrique Daniel Gomez Jr 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 Enrique Daniel Gomez Jr, NP Po Box 41926, Los Angeles, CA 90041-0926 Ph: () -	Mr Enrique Daniel Gomez Jr, NP 1500 E Chevy Chase Dr # 204, Glendale, CA 91206-4152 Ph: (818) 827-3898

Reviews and Comments

Nurse Practitioner Nurses in Glendale, CA

Anna Manukyan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3527 Ocean View Blvd, Glendale, CA 91208 Phone: 747-745-7771
Chelsea Addy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 N Brand Blvd Ste 100, Glendale, CA 91203 Phone: 747-286-2600
Nessrien Waguih Malak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3340 Honolulu Ave Apt 6, Glendale, CA 91214 Phone: 562-507-6012
Brianna Ruth Oexmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 N Central Ave, Glendale, CA 91203 Phone: 888-777-1945 Fax: 805-413-9099
Yu-ching Karen Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1122 E Broadway, Glendale, CA 91205 Phone: 866-389-2727
Lauralie Johnson, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 S Central Ave Ste 100, Glendale, CA 91204 Phone: 818-660-4490
Mrs. Kristine Ghazarian, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 Arden Ave Ste 550, Glendale, CA 91203 Phone: 818-242-3916

Mr Enrique Daniel Gomez Jr, NP - Medicare Nurse Practitioner in Glendale, CA