Kelly Allan Gomez, DPM - Medicare Podiatrist in Provo, UT

Kelly Allan Gomez, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Provo, Utah. His current practice location is 777 N 500 W, Suite 103, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 375-6677.

Kelly Allan Gomez is licensed to practice in Utah (license number 367951) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821021957.

Contact Information

Kelly Allan Gomez, DPM
777 N 500 W, Suite 103,
Provo, UT 84601
(801) 375-6677
(801) 375-0346

Map and Direction




Healthcare Provider's Profile

Full NameKelly Allan Gomez
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location777 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821021957
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 01/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0446288724
  • Enrollment ID: I20050728000334

Medical Identifiers

Medical identifiers for Kelly Allan Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821021957NPI-NPPES
000064004OtherUTMEDICARE PTAN #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 367951 (Utah)Primary
213E00000XPodiatrist 367951 (Utah)Secondary

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. Kelly Allan 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
Kelly Allan Gomez, DPM
777 N 500 W, Suite 103,
Provo, UT 84601

Ph: (801) 375-6677
Kelly Allan Gomez, DPM
777 N 500 W, Suite 103,
Provo, UT 84601

Ph: (801) 375-6677

Reviews and Comments


Podiatrist in Provo, UT

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Phone: 801-373-2499    Fax: 801-373-5200
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Phone: 801-377-2274    
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Phone: 801-374-3010    Fax: 801-377-2426
Dr. Scott Brett Humpherys, DPM
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Phone: 801-225-3095    Fax: 801-374-6254
Dr. James Thomas Ross, DPM, PT
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Phone: 801-356-1733    

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.