Kiara Ivelisse Gomez, MD is a medicare enrolled "General Practice" in Humacao, Puerto Rico. Her current practice location is
300 Calle Font Martelo, Humacao, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 988-1994.
Kiara Ivelisse Gomez is licensed to practice in Puerto Rico (license number 24188) 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 1780382994.
Provider's Profile
Full Name | Kiara Ivelisse Gomez |
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Gender | Female |
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Speciality | General Practice |
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Location | 300 Calle Font Martelo, Humacao, Puerto Rico |
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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: 1780382994
- Provider Enumeration Date: 02/16/2023
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961922349
- Enrollment ID: I20250228001740
Medical Identifiers
Medical identifiers for Kiara Ivelisse Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780382994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 1562 (Puerto Rico) | Secondary |
208D00000X | General Practice | 24188 (Puerto Rico) | 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. Kiara Ivelisse Gomez allows following entities to bill medicare on her behalf.
Entity Name | Primary Internal Med Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184351827 PECOS PAC ID: 5193199545 Enrollment ID: O20230326000033 |
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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. Kiara Ivelisse 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 |
Kiara Ivelisse Gomez, MD 211 Plaza Caribe, Caguas, PR 00727-3047 Ph: (787) 586-5744 | Kiara Ivelisse Gomez, MD 300 Calle Font Martelo, Humacao, PR 00791-3230 Ph: (787) 988-1994 |
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