| Stacy Meredith Gomez, MD | |
|
207 W Legion Rd, Brawley, CA 92227-7780 | |
| (760) 351-3397 | |
| Not Available |
| Full Name | Stacy Meredith Gomez |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 207 W Legion Rd, Brawley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437412384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A126899 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Meredith Gomez, MD 207 W Legion Rd, Brawley, CA 92227-7780 Ph: (760) 351-3397 | Stacy Meredith Gomez, MD 207 W Legion Rd, Brawley, CA 92227-7780 Ph: (760) 351-3397 |
Dr. Young Sik Lee, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
James A Nelson, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
Michael Harold Bishop, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
Ted Yoshio Fisher, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 628 G St, Brawley, CA 92227 Phone: 760-344-1101 | |
Michael Dean Berger, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
Thomas Ence, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 Fax: 760-351-4489 |