Jacqueline Gomez, NP in Green Valley, AZ - Medicare Nurse Practitioner

Jacqueline Gomez, NP is a medicare enrolled "Nurse Practitioner - Family" in Green Valley, Arizona. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emil H Annabi Md Pc and her current practice location is 4485 S I 19 Frontage Rd Ste 100, Green Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 399-6000.

Jacqueline Gomez is licensed to practice in Arizona (license number AP5451) 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 1245655711.

Contact Information

	Jacqueline Gomez, NP
	4485 S I 19 Frontage Rd Ste 100, Green Valley, AZ 85614-5884
	(520) 399-6000
	(520) 399-6002

Map and Direction

Provider's Profile

Full Name	Jacqueline Gomez
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	4485 S I 19 Frontage Rd Ste 100, Green Valley, Arizona
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:

Jacqueline Gomez graduated from nursing school in 2013

NPI Data:

NPI Number: 1245655711
Provider Enumeration Date: 02/20/2014
Last Update Date: 07/01/2021

Medicare PECOS Information:

PECOS PAC ID: 7214153139
Enrollment ID: I20140729001381

Medical Identifiers

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

Identifier	Type	State	Issuer
1245655711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP5451 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emil H Annabi Md Pc	0941511109	15

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. Jacqueline Gomez allows following entities to bill medicare on her behalf.

Entity Name	Emil H Annabi Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245635390 PECOS PAC ID: 0941511109 Enrollment ID: O20150616002315

Entity Name	Synergy Clinical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083137038 PECOS PAC ID: 5193082386 Enrollment ID: O20171122002771

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. Jacqueline 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
Jacqueline Gomez, NP 6840 E Broadway Blvd, Tucson, AZ 85710-2809 Ph: (520) 399-6000	Jacqueline Gomez, NP 4485 S I 19 Frontage Rd Ste 100, Green Valley, AZ 85614-5884 Ph: (520) 399-6000

Reviews and Comments

Nurse Practitioner Nurses in Green Valley, AZ

Ms. Mary Ellen Francl, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 W. Esperanza Blvd., Caremore, Green Valley, AZ 85614 Phone: 520-791-7300
Jenna Kirsten Roschi, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 164 E Calle Trona, Green Valley, AZ 85614 Phone: 260-402-6676
Mrs. Elizabeth L Riley, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W. Camino Casa Verde, Suite 100, Green Valley, AZ 85614 Phone: 520-625-1760 Fax: 520-648-1394
Mrs. Adrianne Jo O'brien, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1285 W Camino Encanto, Green Valley, AZ 85622 Phone: 520-625-9400
Stephanie L Jones, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1141 S La Canada Dr, Green Valley, AZ 85614 Phone: 520-694-3038
Mrs. Hope Ann Goodman, FNP-C, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1141 S La Canada Dr, Green Valley, AZ 85614 Phone: 520-694-3030
Ms. Randi Irene Schmeling, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 W Vista Hermosa Dr, Suite 140, Green Valley, AZ 85614 Phone: 520-399-2291 Fax: 520-399-0180

Jacqueline Gomez, NP - Medicare Nurse Practitioner in Green Valley, AZ