Edward Diaz Gomez, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albany, New York. His current practice location is
43 New Scotland Ave, Albany, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 262-3371.
Edward Diaz Gomez is licensed to practice in * (Not Available) (license number 65068) 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 1407533797.
Physician's Profile
Full Name | Edward Diaz Gomez |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 43 New Scotland Ave, Albany, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407533797
- Provider Enumeration Date: 06/29/2023
- Last Update Date: 04/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486014198
- Enrollment ID: I20230713000475
Medical Identifiers
Medical identifiers for Edward Diaz Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407533797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MT230037 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 65068 (* (Not Available)) | Primary |
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. Edward Diaz 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 |
Edward Diaz Gomez, MD 43 New Scotland Ave, Albany, NY 12208-3412 Ph: (518) 262-3371 | Edward Diaz Gomez, MD 43 New Scotland Ave, Albany, NY 12208-3412 Ph: (518) 262-3371 |
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