Dr Michael Daniel Gomez, PHD in Riverside, RI - Medicare Psychologist Provider

Dr Michael Daniel Gomez, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Riverside, Rhode Island. His current practice location is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 432-1000.

Dr Michael Daniel Gomez is licensed to practice in Rhode Island (license number PS01997) 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 1316121320.

Contact Information

	Dr Michael Daniel Gomez, PHD
	1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
	(401) 432-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Daniel Gomez
Gender	Male
Speciality	Psychologist - Clinical Child & Adolescent
Location	1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316121320
Provider Enumeration Date: 12/27/2007
Last Update Date: 09/28/2021

Medicare PECOS Information:

PECOS PAC ID: 3870712565
Enrollment ID: I20211004003209

Medical Identifiers

Medical identifiers for Dr Michael Daniel Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316121320	NPI	-	NPPES
1841281805	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1156 (Oklahoma)	Secondary
103TC0700X	Psychologist - Clinical	TLMLP1139 (Kansas)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	37162 (Texas)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	PS01997 (Rhode Island)	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. Dr Michael Daniel Gomez allows following entities to bill medicare on his behalf.

Entity Name	Emma Pendleton Bradley Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082

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. Dr Michael Daniel 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
Dr Michael Daniel Gomez, PHD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779	Dr Michael Daniel Gomez, PHD 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 Ph: (401) 432-1000

Reviews and Comments

Psychologist in Riverside, RI

Dr. Vamsi C Tummalachetty, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Dr. Andrea Lillian Gold, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Kathryn A Simon, Psychologist Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
David Lichtenstein, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Bryana Elizabeth Killion, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1618
Dr. Lisa Faille, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2 Village Grn N Apt C, Riverside, RI 02915 Phone: 401-481-1914
James Andrew Brcak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500

Dr Michael Daniel Gomez, PHD - Medicare Psychologist in Riverside, RI