Jacqueline Gomez, PA-C - Medicare Physician Assistant in Clovis, CA

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Jacqueline Gomez, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Clovis, California. She went to George Washington University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Shamsuddin Khwaja M D Inc and her current practice location is 729 N Medical Center Dr W Ste 223, Clovis, California. You can reach out to her office (for appointments etc.) via phone at (559) 449-9990.

Jacqueline Gomez is licensed to practice in North Carolina (license number 212251) 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 1235503814.

Contact Information

Jacqueline Gomez, PA-C
729 N Medical Center Dr W Ste 223,
Clovis, CA 93611-6885
(559) 449-9990
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Gomez
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location729 N Medical Center Dr W Ste 223, Clovis, California
Accepts Medicare AssignmentsYes. 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 attended and graduated from George Washington University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1235503814
  • Provider Enumeration Date: 11/19/2015
  • Last Update Date: 03/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759671811
  • Enrollment ID: I20230404001060

Medical Identifiers

Medical identifiers for Jacqueline Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235503814NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 212251 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Regional Medical CenterFresno, CAHospital
Clovis Community Medical CenterClovis, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shamsuddin Khwaja M D Inc57998107848

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 NameShamsuddin Khwaja M D Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699006650
PECOS PAC ID: 5799810784
Enrollment ID: O20100316000543
Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387

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 AddressPractice Location Address
Jacqueline Gomez, PA-C
729 N Medical Center Dr W Ste 223,
Clovis, CA 93611-6885

Ph: Not Available		Jacqueline Gomez, PA-C
729 N Medical Center Dr W Ste 223,
Clovis, CA 93611-6885

Ph: (559) 449-9990

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.