Eduardo Gomez, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in North Miami, Florida. His current practice location is
2047 Ne 121st Rd, North Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 951-8371.
Eduardo Gomez is licensed to practice in Florida (license number 1366882) 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 1124328851.
Provider's Profile
| Full Name | Eduardo Gomez |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2047 Ne 121st Rd, North Miami, Florida |
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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: 1124328851
- Provider Enumeration Date: 10/28/2010
- Last Update Date: 09/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 0345478830
- Enrollment ID: I20140107001327
Medical Identifiers
Medical identifiers for Eduardo Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124328851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1366882 (Florida) | 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. Eduardo Gomez allows following entities to bill medicare on his behalf.
| Entity Name | Brevard Eye Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558456681
PECOS PAC ID: 7719884576
Enrollment ID: O20040108000642 |
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| Entity Name | Amsurg Citrus Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255774212
PECOS PAC ID: 9436399854
Enrollment ID: O20130709000205 |
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| Entity Name | Amsurg Port Orange Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043654270
PECOS PAC ID: 6406098235
Enrollment ID: O20130807000756 |
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| Entity Name | Amsurg Melbourne Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477958189
PECOS PAC ID: 3274858618
Enrollment ID: O20150206000921 |
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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. Eduardo 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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Eduardo Gomez, CRNA
2047 Ne 121st Rd,
North Miami, FL 33181-3306
Ph: (305) 951-8371 | Eduardo Gomez, CRNA
2047 Ne 121st Rd,
North Miami, FL 33181-3306
Ph: (305) 951-8371 |
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