Yolandra Gomez, MD is a medicare enrolled "Pediatrics" physician in Dulce, New Mexico. Her current practice location is
25 Hawks Dr, Dulce, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 759-3242.
Yolandra Gomez is licensed to practice in New Mexico (license number MD2007-0483) 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 1912046939.
Physician's Profile
| Full Name | Yolandra Gomez |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 25 Hawks Dr, Dulce, New Mexico |
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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: 1912046939
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 03/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678886918
- Enrollment ID: I20150716000361
Medical Identifiers
Medical identifiers for Yolandra Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912046939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 2004-0442 (New Mexico) | Secondary |
| 208000000X | Pediatrics | MD2007-0483 (New Mexico) | 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. Yolandra Gomez allows following entities to bill medicare on her behalf.
| Entity Name | Pueblo Of Jemez |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417082215 PECOS PAC ID: 3971584509 Enrollment ID: O20050411001246 |
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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. Yolandra 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 |
Yolandra Gomez, MD 25 Hawks Dr, Dulce, NM 87528-5024 Ph: (575) 759-3242 | Yolandra Gomez, MD 25 Hawks Dr, Dulce, NM 87528-5024 Ph: (575) 759-3242 |
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