Jaclyn Ann Gomez, FNP in Syosset, NY - Medicare Nurse Practitioner

Jaclyn Ann Gomez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Syosset, New York. Her current practice location is 8 Greenfield Rd, Syosset, New York. You can reach out to her office (for appointments etc.) via phone at (592) 051-6628.

Jaclyn Ann Gomez is licensed to practice in New York (license number 354866) 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 1366271934.

Contact Information

	Jaclyn Ann Gomez, FNP
	8 Greenfield Rd, Syosset, NY 11791-4800
	(592) 051-6628
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Ann Gomez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8 Greenfield Rd, Syosset, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366271934
Provider Enumeration Date: 07/31/2024
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 3971030479
Enrollment ID: I20241223001159

Medical Identifiers

Medical identifiers for Jaclyn Ann Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366271934	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	354866 (New York)	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. Jaclyn Ann Gomez allows following entities to bill medicare on her behalf.

Entity Name	North Shore-lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Jaclyn Ann 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
Jaclyn Ann Gomez, FNP 793 Bonnie Dr, Baldwin, NY 11510-4522 Ph: (516) 724-0000	Jaclyn Ann Gomez, FNP 8 Greenfield Rd, Syosset, NY 11791-4800 Ph: (592) 051-6628

Reviews and Comments

Nurse Practitioner Nurses in Syosset, NY

Dr. Jennifer Mcintosh, PHD, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Jericho Tpke Ste 117, Syosset, NY 11791 Phone: 631-882-2432
Heather Robles, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Greenfield Rd, Syosset, NY 11791 Phone: 516-496-7900
Donna Trimarco, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Jericho Tpke, Syosset, NY 11791 Phone: 516-496-6447 Fax: 516-496-6562
Valeria Palmieri, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Syosset Hospital, 221 Jericho Turnpike, Syosset, NY 11791 Phone: 516-650-5603
Karen Roush, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Cold Spring Rd, Syosset, NY 11791 Phone: 866-389-2727
Mrs. Brandy Anne Hoeck, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Queens St Ste 100, Syosset, NY 11791 Phone: 516-864-0040
Mrs. Samantha Palladino, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Jericho Tpke, Syosset, NY 11791 Phone: 516-364-3500

Jaclyn Ann Gomez, FNP - Medicare Nurse Practitioner in Syosset, NY