| Justin Anthony Gomez, FNP-C | |
|
2902 Tom Tennant Dr, Woodburn, OR 97071-2828 | |
| (971) 345-4767 | |
| Not Available |
| Full Name | Justin Anthony Gomez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2902 Tom Tennant Dr, Woodburn, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336854504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10050797 (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 863840 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mesa View Regional Hospital | Mesquite, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mesquite Clinic Management Company Llc | 8123456456 | 21 |
| Entity Name | Mesquite Clinic Management Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548800501 PECOS PAC ID: 8123456456 Enrollment ID: O20200319000698 |
| Entity Name | Omnia Care Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659018018 PECOS PAC ID: 1951756881 Enrollment ID: O20231012003992 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Anthony Gomez, FNP-C 3187 E 3050 S, Saint George, UT 84790-1372 Ph: () - | Justin Anthony Gomez, FNP-C 2902 Tom Tennant Dr, Woodburn, OR 97071-2828 Ph: (971) 345-4767 |
Lisa Schlegel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 Fax: 503-982-0660 | |
Alfonso Capuras, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2174 Fax: 503-982-4599 | |
Jennifer Marie Federico, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Arney Rd Ste 130, Woodburn, OR 97071 Phone: 503-902-3900 | |
Joel Roberts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Arney Rd Ste 130, Woodburn, OR 97071 Phone: 503-902-3900 | |
Mary M Tippin, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1475 Mt. Hood Avenue, Woodburn, OR 97071 Phone: 971-983-5252 Fax: 971-983-5253 | |
Li Chang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-981-0423 |