Diego Fernando Gomez, LCAS-A in Fort Myers, FL

Diego Fernando Gomez, LCAS-A is a medicare enrolled "Counselor - Mental Health" provider in Fort Myers, Florida. His current practice location is 15901 Bass Rd Ste 108, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 343-6050.

Diego Fernando Gomez is licensed to practice in Florida (license number MH14194) 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 1275914111.

Contact Information

	Diego Fernando Gomez, LCAS-A
	15901 Bass Rd Ste 108, Fort Myers, FL 33908
	(239) 343-6050
	(239) 343-6051

Map and Direction

Healthcare Provider's Profile

Full Name	Diego Fernando Gomez
Gender	Male
Speciality	Counselor - Mental Health
Location	15901 Bass Rd Ste 108, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275914111
Provider Enumeration Date: 06/16/2015
Last Update Date: 09/03/2020

Medicare PECOS Information:

PECOS PAC ID: 8527404599
Enrollment ID: I20240313000203

Medical Identifiers

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

Identifier	Type	State	Issuer
1275914111	NPI	-	NPPES
100799300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH14194 (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. Diego Fernando Gomez allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Lee Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576

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. Diego Fernando 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
Diego Fernando Gomez, LCAS-A Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-6050	Diego Fernando Gomez, LCAS-A 15901 Bass Rd Ste 108, Fort Myers, FL 33908 Ph: (239) 343-6050

Reviews and Comments

Counselor in Fort Myers, FL

Bethaney Lynne Hoffacker, MA, LMHC-QS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8280 College Pkwy Ste 103, Fort Myers, FL 33919 Phone: 941-258-6944
Jamie Gilles, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907 Phone: 239-343-9180 Fax: 239-343-9188
Zachira Josefina Gonzalez, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 6631 Orion Dr, Fort Myers, FL 33912 Phone: 239-246-0381
Ms. Daneen Barker Clarke, M.S. ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 Allen St, Fort Myers, FL 33916 Phone: 239-243-8794
Mr. Frank David Kohn, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12734 Kenwood Ln, Suite 17, Fort Myers, FL 33907 Phone: 239-939-3911 Fax: 239-939-3911
Ms. Tina Friedman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8695 College Pkwy, 2258, Fort Myers, FL 33919 Phone: 239-489-4705 Fax: 239-489-2732
Mary Hemrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1940 Maravilla Ave, Fort Myers, FL 33901 Phone: 239-334-0222

Diego Fernando Gomez, LCAS-A - Medicare Counselor in Fort Myers, FL