Jennifer Iliana Gomez, MS, RDN in Los Angeles, CA - Medicare Dietitian, Registered Provider

Jennifer Iliana Gomez, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in Los Angeles, California. Her current practice location is 1530 Hillhurst Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 644-3888.

Jennifer Iliana Gomez is licensed to practice in California (license number 86087719) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417507831.

Contact Information

	Jennifer Iliana Gomez, MS, RDN
	1530 Hillhurst Ave, Los Angeles, CA 90027-5516
	(323) 644-3888
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Iliana Gomez
Gender	Female
Speciality	Dietitian, Registered
Location	1530 Hillhurst Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417507831
Provider Enumeration Date: 09/17/2019
Last Update Date: 09/17/2019

Medicare PECOS Information:

PECOS PAC ID: 1850729872
Enrollment ID: I20200325000525

Medical Identifiers

Medical identifiers for Jennifer Iliana Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417507831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86087719 (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. Jennifer Iliana Gomez allows following entities to bill medicare on her behalf.

Provider Name	Asian Pacific Health Care Venture, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336208255 PECOS PAC ID: 8729997390 Enrollment ID: O20050429000995

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. Jennifer Iliana 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
Jennifer Iliana Gomez, MS, RDN 10236 Hayvenhurst Ave, North Hills, CA 91343-1108 Ph: (818) 849-4928	Jennifer Iliana Gomez, MS, RDN 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 Ph: (323) 644-3888

Reviews and Comments

Dietitian, Registered in Los Angeles, CA

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Jeannie Wakamatsu, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 Phone: 213-740-1728
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Jennifer Iliana Gomez, MS, RDN - Medicare Dietitian in Los Angeles, CA