Dr Wanda Y Gomez Lopez, MD in Kissimmee, FL

Dr Wanda Y Gomez Lopez, MD is a medicare enrolled "General Practice" physician in Kissimmee, Florida. Her current practice location is 910 W Vine St, Kissimmee, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 517-9582.

Dr Wanda Y Gomez Lopez is licensed to practice in Florida (license number ACN1011) 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 1215030630.

Contact Information

	Dr Wanda Y Gomez Lopez, MD
	910 W Vine St, Kissimmee, FL 34741-4165
	(407) 517-9582
	(407) 978-6644

Map and Direction

Physician's Profile

Full Name	Dr Wanda Y Gomez Lopez
Gender	Female
Speciality	General Practice
Location	910 W Vine St, Kissimmee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215030630
Provider Enumeration Date: 09/07/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9032399514
Enrollment ID: I20180511000282

Medical Identifiers

Medical identifiers for Dr Wanda Y Gomez Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215030630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	ACN1011 (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. Dr Wanda Y Gomez Lopez allows following entities to bill medicare on her behalf.

Entity Name	Central Florida Primary Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437334323 PECOS PAC ID: 0840377610 Enrollment ID: O20080403000050

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. Dr Wanda Y Gomez Lopez 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
Dr Wanda Y Gomez Lopez, MD 121 S Orange Ave Ste 940, Orlando, FL 32801-3234 Ph: (407) 658-9687	Dr Wanda Y Gomez Lopez, MD 910 W Vine St, Kissimmee, FL 34741-4165 Ph: (407) 517-9582

Reviews and Comments

General Practice Doctors in Kissimmee, FL

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David Riascos, MD General Practice Medicare: Medicare Enrolled Practice Location: 920 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-956-1920
Dr. Sylvia Collazo, MD General Practice Medicare: Medicare Enrolled Practice Location: 833 E Oak St, Kissimmee, FL 34744 Phone: 407-350-3373 Fax: 407-910-4740
Dr. Jorge Enrique Justicia Ferrer, MD General Practice Medicare: Medicare Enrolled Practice Location: 1502 Village Oak Ln, Kissimmee, FL 34746 Phone: 407-520-3588 Fax: 407-978-6757

Dr Wanda Y Gomez Lopez, MD - Medicare General Practice in Kissimmee, FL