Dr Fernando Enrique Gomez Ii, PT, DPT in West New York, NJ - Medicare Physical Therapist Provider

Dr Fernando Enrique Gomez Ii, PT, DPT is a medicare enrolled "Physical Therapist" provider in West New York, New Jersey. His current practice location is 6612-18 Bergenline Ave, West New York, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 854-5511.

Dr Fernando Enrique Gomez Ii is licensed to practice in New Jersey (license number 40QA02150100) 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 1023722808.

Contact Information

	Dr Fernando Enrique Gomez Ii, PT, DPT
	6612-18 Bergenline Ave, West New York, NJ 07093
	(201) 854-5511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Fernando Enrique Gomez Ii
Gender	Male
Speciality	Physical Therapist
Location	6612-18 Bergenline Ave, West New York, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023722808
Provider Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6305218991
Enrollment ID: I20230208000506

Medical Identifiers

Medical identifiers for Dr Fernando Enrique Gomez Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023722808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02150100 (New Jersey)	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. Dr Fernando Enrique Gomez Ii allows following entities to bill medicare on his behalf.

Provider Name	United Sports Care & Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1972881233 PECOS PAC ID: 9436324886 Enrollment ID: O20111213000548

Provider Name	Sportscare Of America, Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1851484380 PECOS PAC ID: 9032213756 Enrollment ID: O20150917000430

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. Dr Fernando Enrique Gomez Ii 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
Dr Fernando Enrique Gomez Ii, PT, DPT 814 4th St, Secaucus, NJ 07094-3302 Ph: (551) 655-2404	Dr Fernando Enrique Gomez Ii, PT, DPT 6612-18 Bergenline Ave, West New York, NJ 07093 Ph: (201) 854-5511

Reviews and Comments

Physical Therapist in West New York, NJ

Nicholas King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6120 Buchanan Pl Fl 2, West New York, NJ 07093 Phone: 201-758-5238
Ms. Elvis Lamotte Velez, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4914 Kennedy Blvd, Suite 204, West New York, NJ 07093 Phone: 201-974-1433 Fax: 206-974-1437
Francisco Merino, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6612 Bergenline Ave # 18, West New York, NJ 07093 Phone: 201-845-5511 Fax: 201-848-5522
Gaius Ghattas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 Bergenline Ave, West New York, NJ 07093 Phone: 732-979-7456
Mr. John D Rector Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Kennedy Blvd E Apt 20m, West New York, NJ 07093 Phone: 516-818-9820
Denmari Berberabe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 John F. Kennedy Boulevard, West New York, NJ 07093 Phone: 201-758-0099

Dr Fernando Enrique Gomez Ii, PT, DPT - Medicare Physical Therapist in West New York, NJ