| Dr Maria Gomez, MD | |
|
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
| (888) 720-2012 | |
| Not Available |
| Full Name | Dr Maria Gomez |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 13250 Washington Ave, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982087433 | NPI | - | NPPES |
| 100092081 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 21285-875 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 125067883 (Illinois) | Primary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maria Gomez, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Maria Gomez, MD 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (888) 720-2012 |
Dr. James Samuel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088 Fax: 262-884-4078 | |
Mr. Evan Jacob Clark, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-799-8200 | |
Michael G Manske, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088 | |
Dr. Joseph Thomas Humphrey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4201 Fax: 262-687-4334 | |
Dr. Suhas Channappa, M.D., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 | |
Dr. Matthew John Clark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4493 |