Mrs Staci L Gomez, OTR/CHT in Greenfield, WI - Medicare Occupational Therapy Provider

Mrs Staci L Gomez, OTR/CHT is a medicare enrolled "Occupational Therapist - Hand" provider in Greenfield, Wisconsin. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Midwest Orthopedic Specialty Hospital Llc and her current practice location is 3033 W Layton Ave Ste 202, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 647-0033.

Mrs Staci L Gomez is licensed to practice in Wisconsin (license number 1931-026) 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 1679562847.

Contact Information

	Mrs Staci L Gomez, OTR/CHT
	3033 W Layton Ave Ste 202, Greenfield, WI 53221-2621
	(414) 647-0033
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Staci L Gomez
Gender	Female
Speciality	Occupational Therapy
Experience	31 Years
Location	3033 W Layton Ave Ste 202, Greenfield, Wisconsin
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:

Mrs Staci L Gomez graduated from medical school in 1993

NPI Data:

NPI Number: 1679562847
Provider Enumeration Date: 10/19/2005
Last Update Date: 02/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0941694434
Enrollment ID: I20220226000303

Medical Identifiers

Medical identifiers for Mrs Staci L Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679562847	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	1931-26 (Wisconsin)	Secondary
225XH1200X	Occupational Therapist - Hand	1931-026 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Orthopedic Specialty Hospital Llc	7113078833	32

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. Mrs Staci L Gomez allows following entities to bill medicare on her behalf.

Provider Name	Midwest Orthopedic Specialty Hospital Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275127375 PECOS PAC ID: 7113078833 Enrollment ID: O20210317001381

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. Mrs Staci L 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
Mrs Staci L Gomez, OTR/CHT 316 Church St, Burlington, WI 53105-1040 Ph: (262) 210-1431	Mrs Staci L Gomez, OTR/CHT 3033 W Layton Ave Ste 202, Greenfield, WI 53221-2621 Ph: (414) 647-0033

Reviews and Comments

Occupational Therapist in Greenfield, WI

Mrs. Rhonda L. Shubert, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 West Cold Spring Road, Greenfield Rehabilitation Agency, Greenfield, WI 53220 Phone: 414-327-6603 Fax: 414-327-5411
Stephaney Anne Bublitz, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800
Mrs. Jennifer C Willms, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4144 S 99th St, Greenfield, WI 53228 Phone: 414-328-4575
Catherine Gruen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 W Coldspring Rd, Greenfield, WI 53220 Phone: 414-327-6603
Rebecca Mueller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 W Coldspring Rd, Greenfield, WI 53220 Phone: 414-327-6603 Fax: 414-327-5411
Mrs. Laura Christine Socha, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800
Jesse Kailyn Haefner, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800

Mrs Staci L Gomez, OTR/CHT - Medicare Occupational Therapist in Greenfield, WI