Jefferson Rabo Gomez, OTR/L is a medicare enrolled "Occupational Therapist" provider in Port Wentworth, Georgia. His current practice location is
26 Rice Mill Rd, Port Wentworth, Georgia. You can reach out to his office (for appointments etc.) via phone at
(732) 318-1930.
Jefferson Rabo Gomez is licensed to practice in * (Not Available) (license number OT004929) 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 1437430006.
Healthcare Provider's Profile
| Full Name | Jefferson Rabo Gomez |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 26 Rice Mill Rd, Port Wentworth, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437430006
- Provider Enumeration Date: 09/08/2011
- Last Update Date: 09/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 2466820287
- Enrollment ID: I20221128002520
Medical Identifiers
Medical identifiers for Jefferson Rabo Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437430006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT004929 (* (Not Available)) | 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. Jefferson Rabo Gomez allows following entities to bill medicare on his behalf.
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841561446
PECOS PAC ID: 2860649654
Enrollment ID: O20210225000096 |
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| Provider Name | The Weston Group Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679289888
PECOS PAC ID: 8123936796
Enrollment ID: O20230317000054 |
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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. Jefferson Rabo 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 |
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Jefferson Rabo Gomez, OTR/L
4 La Vida Ct N,
Savannah, GA 31419
Ph: (732) 318-1930 | Jefferson Rabo Gomez, OTR/L
26 Rice Mill Rd,
Port Wentworth, GA 31407-6022
Ph: (732) 318-1930 |
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