Mrs Angelica Gomez, NURSE PRACTITIONER F is a medicare enrolled "Nurse Practitioner" in Kenasha, Wisconsin. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ear Nose And Throat Family Clinic Of Wisconsin Sc, Ear Nose And Throat Family Clinic Of Wisconsin Sc and her current practice location is
6127 Greenbay Road-sinus And Snoring Md, Suite 100, Kenasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 425-9108.
Mrs Angelica Gomez is licensed to practice in Wisconsin (license number 11797-33) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558015420.
Provider's Profile
| Full Name | Mrs Angelica Gomez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 6127 Greenbay Road-sinus And Snoring Md, Kenasha, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Angelica Gomez graduated from nursing school in 2021
NPI Data:
- NPI Number: 1558015420
- Provider Enumeration Date: 02/09/2022
- Last Update Date: 04/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597151878
- Enrollment ID: I20220413002851
Medical Identifiers
Medical identifiers for Mrs Angelica Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558015420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 209.029499 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 319095-31 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 11797-33 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ear Nose And Throat Family Clinic Of Wisconsin Sc | 7911997655 | 9 |
| Ear Nose And Throat Family Clinic Of Wisconsin Sc | 7911997655 | 9 |
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. Mrs Angelica Gomez allows following entities to bill medicare on her behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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| Entity Name | Ear Nose And Throat Family Clinic Of Wisconsin Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578650164 PECOS PAC ID: 7911997655 Enrollment ID: O20040514000926 |
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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. Mrs Angelica 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 |
Mrs Angelica Gomez, NURSE PRACTITIONER F 6127 Greenbay Road-sinus And Snoring Md, Suite 100, Kenasha, WI 53140 Ph: (262) 425-9108 | Mrs Angelica Gomez, NURSE PRACTITIONER F 6127 Greenbay Road-sinus And Snoring Md, Suite 100, Kenasha, WI 53140 Ph: (262) 425-9108 |
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