Mr Miguel A Gomez Garcia, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. His current practice location is
160 E Virginia St, #280, San Jose, California. You can reach out to his office (for appointments etc.) via phone at
(408) 287-6200.
Mr Miguel A Gomez Garcia is licensed to practice in California (license number 65091) 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 1962570424.
Healthcare Provider's Profile
| Full Name | Mr Miguel A Gomez Garcia |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 160 E Virginia St, San Jose, California |
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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: 1962570424
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254611833
- Enrollment ID: I20161219000839
Medical Identifiers
Medical identifiers for Mr Miguel A Gomez Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962570424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 65091 (California) | 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. Mr Miguel A Gomez Garcia allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Mr Miguel A Gomez Garcia 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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Mr Miguel A Gomez Garcia, LCSW
5806 Casita Way,
Gilroy, CA 95020-6832
Ph: (831) 801-3517 | Mr Miguel A Gomez Garcia, LCSW
160 E Virginia St, #280,
San Jose, CA 95112-5857
Ph: (408) 287-6200 |
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