Crystaloren M Gomez, FNP-BC in San Diego, CA - Medicare Nurse Practitioner

Crystaloren M Gomez, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 3327 Rosecrans St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Crystaloren M Gomez is licensed to practice in California (license number NP95027133) 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 1184406522.

Contact Information

	Crystaloren M Gomez, FNP-BC
	3327 Rosecrans St, San Diego, CA 92110-4223
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystaloren M Gomez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3327 Rosecrans St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184406522
Provider Enumeration Date: 10/19/2023
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9436509155
Enrollment ID: I20231221000915

Medical Identifiers

Medical identifiers for Crystaloren M Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184406522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95027133 (California)	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. Crystaloren M Gomez allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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. Crystaloren M 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
Crystaloren M Gomez, FNP-BC 5644 Mission Center Rd, San Diego, CA 92108-4328 Ph: (866) 389-2727	Crystaloren M Gomez, FNP-BC 3327 Rosecrans St, San Diego, CA 92110-4223 Ph: (866) 389-2727

Reviews and Comments

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Crystaloren M Gomez, FNP-BC - Medicare Nurse Practitioner in San Diego, CA