Grismeldy E Gomez, is a
Nurse Practitioner - Primary Care based in Winfield, Missouri. Grismeldy E Gomez is licensed to practice in Kansas (license number 53-78743-011) and her current practice location is
61 Village Circle Dr, Winfield, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 322-8517.
NPI number for Grismeldy E Gomez is 1992369508 and her current mailing address is 61 Village Circle Dr, Winfield, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992369508.
Provider's Profile
| Full Name | Grismeldy E Gomez |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Primary Care |
|---|
| Location | 61 Village Circle Dr, Winfield, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992369508
- Provider Enumeration Date: 04/29/2019
- Last Update Date: 06/15/2019
Medical Identifiers
Medical identifiers for Grismeldy E Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992369508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP2300X | Nurse Practitioner - Primary Care | 53-78743-011 (Kansas) | Primary |
| 163W00000X | Registered Nurse | 2013026395 (Missouri) | Secondary |
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. Grismeldy E Gomez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Grismeldy E Gomez, 61 Village Circle Dr, Winfield, MO 63389-2053 Ph: (636) 322-8517 | Grismeldy E Gomez, 61 Village Circle Dr, Winfield, MO 63389-2053 Ph: (636) 322-8517 |
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