Jessica-renee Gamboa, MD in Altus, OK - Medicare Family Medicine

Jessica-renee Gamboa, MD is a medicare enrolled "Family Medicine" physician in Altus, Oklahoma. Her current practice location is 301 N 1st St, Altus, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 481-5062.

Jessica-renee Gamboa is licensed to practice in Texas (license number R3326) 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 1104188192.

Contact Information

	Jessica-renee Gamboa, MD
	301 N 1st St, Altus, OK 73523-5004
	(580) 481-5062
	Not Available

Physician's Profile

Full Name	Jessica-renee Gamboa
Gender	Female
Speciality	Family Medicine
Location	301 N 1st St, Altus, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104188192
Provider Enumeration Date: 06/14/2012
Last Update Date: 07/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7517289747
Enrollment ID: I20240313000860

Medical Identifiers

Medical identifiers for Jessica-renee Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104188192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R3326 (Texas)	Primary

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. Jessica-renee Gamboa 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
Jessica-renee Gamboa, MD 301 N 1st St, Altus, OK 73523-5004 Ph: (580) 481-5062	Jessica-renee Gamboa, MD 301 N 1st St, Altus, OK 73523-5004 Ph: (580) 481-5062

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Family Medicine Doctors in Altus, OK

Carol Marie Sherman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6650 Fax: 580-379-6659
Jamie L Hokett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6650 Fax: 580-379-6659
Dr. Allissa Marie White, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6650 Fax: 580-379-6659
Abdallah S Dawod, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 S Park Ln, Suite B, Altus, OK 73521 Phone: 580-379-6550 Fax: 580-379-6559
Dr. Lonnie Edwin Perryman Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6650 Fax: 580-379-6659
Isaac Yourison, Family Medicine Medicare: Medicare Enrolled Practice Location: 301 N 1st St, Altus, OK 73523 Phone: 580-481-5180

Jessica-renee Gamboa, MD - Medicare Family Medicine in Altus, OK