David Vincent Gomez, is a medicare enrolled "Optometrist" provider in Stateline, Nevada. His current practice location is
276 Kingsbury Grade Ste 103, Stateline, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 588-3500.
David Vincent Gomez is licensed to practice in Nevada (license number 1140) 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 1891446373.
Healthcare Provider's Profile
| Full Name | David Vincent Gomez |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 276 Kingsbury Grade Ste 103, Stateline, Nevada |
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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: 1891446373
- Provider Enumeration Date: 01/16/2022
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163893132
- Enrollment ID: I20230131000133
Medical Identifiers
Medical identifiers for David Vincent Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891446373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | TA2985 (Maryland) | Secondary |
| 152W00000X | Optometrist | 3965-35 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | OPT.0003984 (Colorado) | Secondary |
| 152W00000X | Optometrist | 1140 (Nevada) | 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. David Vincent Gomez allows following entities to bill medicare on his behalf.
| Provider Name | Prichett Eye Care Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679889372
PECOS PAC ID: 1052390655
Enrollment ID: O20040716000968 |
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| Provider Name | Optometric Care Of Nevada, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780233460
PECOS PAC ID: 7719318781
Enrollment ID: O20200506001466 |
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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. David Vincent 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 |
|---|
David Vincent Gomez,
276 Kingsbury Grade Ste 103,
Stateline, NV 89449-9804
Ph: () - | David Vincent Gomez,
276 Kingsbury Grade Ste 103,
Stateline, NV 89449-9804
Ph: (775) 588-3500 |
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