Jennifer Gomez, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in New York, New York. Her current practice location is
1468 Madison Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 241-6662.
Jennifer Gomez is licensed to practice in New York (license number 383233) 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 1972171015.
Physician's Profile
| Full Name | Jennifer Gomez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 1468 Madison Ave, New York, 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: 1972171015
- Provider Enumeration Date: 06/15/2021
- Last Update Date: 04/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 7911303458
- Enrollment ID: I20210908001874
Medical Identifiers
Medical identifiers for Jennifer Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972171015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 383233 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 383233 (New York) | Primary |
| 163W00000X | Registered Nurse | 698967 (New York) | Secondary |
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 Gomez allows following entities to bill medicare on her behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
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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. Jennifer 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 Gomez, NP 1468 Madison Ave, New York, NY 10029-6508 Ph: (212) 241-6662 | Jennifer Gomez, NP 1468 Madison Ave, New York, NY 10029-6508 Ph: (212) 241-6662 |
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