Gabrielle Gomez, in Holland, MI - Medicare Optometrist Provider

Gabrielle Gomez, is a medicare enrolled "Optometrist" provider in Holland, Michigan. Her current practice location is 2657 120th Ave, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 395-0606.

Gabrielle Gomez is licensed to practice in Michigan (license number 4901005621) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538898929.

Contact Information

	Gabrielle Gomez,
	2657 120th Ave, Holland, MI 49424-8692
	(616) 395-0606
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gabrielle Gomez
Gender	Female
Speciality	Optometrist
Location	2657 120th Ave, Holland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538898929
Provider Enumeration Date: 06/09/2022
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 0840673018
Enrollment ID: I20220822000172

Medical Identifiers

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

Identifier	Type	State	Issuer
1538898929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901005621 (Michigan)	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. Gabrielle Gomez allows following entities to bill medicare on her behalf.

Provider Name	Lakeshore Eyecare Center Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760668016 PECOS PAC ID: 1557424405 Enrollment ID: O20090120000507

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. Gabrielle 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
Gabrielle Gomez, 2657 120th Ave, Holland, MI 49424-8692 Ph: (616) 395-0606	Gabrielle Gomez, 2657 120th Ave, Holland, MI 49424-8692 Ph: (616) 395-0606

Reviews and Comments

Optometrist in Holland, MI

Michael P Jacquemin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12659 Riley St, Holland, MI 49424 Phone: 616-399-1440 Fax: 616-399-2169
Dr. Daniel Patrick Dunn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2942 Pine Edge Ct, Holland, MI 49424 Phone: 616-393-0144 Fax: 616-393-0199
Family Eyecare Of Holland Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020
Dr. Dirk Schrotenboer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11971 James St, Holland, MI 49424 Phone: 616-395-0606 Fax: 616-395-0070
Dr. Tara Marie Oosterbaan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 999 Washington Ave, Holland, MI 49423 Phone: 616-396-2316 Fax: 616-396-0085
Dr. Gerald Kolk, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020
Rx Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 590 E 16th St Ste 20, Holland, MI 49423 Phone: 616-928-9640 Fax: 616-928-9641

Gabrielle Gomez, - Medicare Optometrist in Holland, MI