Carlos Manuel Gomez, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Pembroke Pines, Florida. He graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Psych 4 U Llc and his current practice location is
2010 Nw 150th Ave Ste 120, Pembroke Pines, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 719-6280.
Carlos Manuel Gomez is licensed to practice in Florida (license number 11007700) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407466774.
Healthcare Provider's Profile
| Full Name | Carlos Manuel Gomez |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 2010 Nw 150th Ave Ste 120, Pembroke Pines, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carlos Manuel Gomez graduated from medical school in 2022
NPI Data:
- NPI Number: 1407466774
- Provider Enumeration Date: 08/03/2020
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042622722
- Enrollment ID: I20201222002135
Medical Identifiers
Medical identifiers for Carlos Manuel Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407466774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | APRN11007700 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11007700 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11007700 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 11007700 (Florida) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Psych 4 U Llc | 0547709628 | 8 |
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. Carlos Manuel Gomez allows following entities to bill medicare on his behalf.
| Entity Name | Westside Hospitalist Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013022128
PECOS PAC ID: 0446214282
Enrollment ID: O20041112000217 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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| Entity Name | Psych 4 U Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962083428
PECOS PAC ID: 0547709628
Enrollment ID: O20240903004234 |
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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. Carlos Manuel 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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Carlos Manuel Gomez, APRN
4740 N State Road 7,
Lauderdale Lakes, FL 33319-5839
Ph: (954) 486-4005 | Carlos Manuel Gomez, APRN
2010 Nw 150th Ave Ste 120,
Pembroke Pines, FL 33028-2888
Ph: (954) 719-6280 |
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