Stacie M Gomez, OTD, OTR/L in Chula Vista, CA - Medicare Occupational Therapist Provider

Stacie M Gomez, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Chula Vista, California. Her current practice location is 2437 Fenton St, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at (619) 656-5176.

Stacie M Gomez is licensed to practice in California (license number 25584) 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 1073387924.

Contact Information

	Stacie M Gomez, OTD, OTR/L
	2437 Fenton St, Chula Vista, CA 91914-3517
	(619) 656-5176
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacie M Gomez
Gender	Female
Speciality	Occupational Therapist
Location	2437 Fenton St, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073387924
Provider Enumeration Date: 11/10/2023
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6608224621
Enrollment ID: I20231130002027

Medical Identifiers

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

Identifier	Type	State	Issuer
1073387924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	25584 (California)	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. Stacie M Gomez allows following entities to bill medicare on her behalf.

Provider Name	Eggleton & Langton Physical Therapy Management Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972229805 PECOS PAC ID: 0840192530 Enrollment ID: O20040122001219

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. Stacie M 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
Stacie M Gomez, OTD, OTR/L 8564 Echo Dr Apt 15, La Mesa, CA 91941-6665 Ph: (702) 300-1627	Stacie M Gomez, OTD, OTR/L 2437 Fenton St, Chula Vista, CA 91914-3517 Ph: (619) 656-5176

Reviews and Comments

Occupational Therapist in Chula Vista, CA

Beverly Dovan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910 Phone: 619-500-5884
Brian Delposo, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3130 Bonita Rd Ste 100, Chula Vista, CA 91910 Phone: 619-585-7104 Fax: 619-585-7106
Kayli Wagner, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 183 3rd Ave, Chula Vista, CA 91910 Phone: 800-310-4696
Marissa Agatha Sheppard, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1337 Blue Sage Way, Chula Vista, CA 91915 Phone: 619-398-6990 Fax: 619-754-6907
Daphne Fernandez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1230 Rockland Ct, Chula Vista, CA 91913 Phone: 619-370-4977
Leah Prijoles, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Ridgeback Rd Ste 2, Chula Vista, CA 91910 Phone: 757-650-6636

Stacie M Gomez, OTD, OTR/L - Medicare Occupational Therapist in Chula Vista, CA