Rosa Gomez De Jesus, MD - Medicare Pediatrics in Allentown, PA

Rosa Gomez De Jesus, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Allentown, Pennsylvania. Her current practice location is 400 N 17th St, Suite 202, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 664-2450.

Rosa Gomez De Jesus is licensed to practice in Texas (license number S3525) 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 1922273911.

Contact Information

Rosa Gomez De Jesus, MD
400 N 17th St, Suite 202,
Allentown, PA 18104-5052
(484) 664-2450
(484) 664-2458



Physician's Profile

Full NameRosa Gomez De Jesus
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location400 N 17th St, Allentown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922273911
  • Provider Enumeration Date: 04/29/2008
  • Last Update Date: 12/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759501364
  • Enrollment ID: I20141002001586

Medical Identifiers

Medical identifiers for Rosa Gomez De Jesus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922273911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine MD451361 (Pennsylvania)Secondary
2080A0000XPediatrics - Adolescent Medicine S3525 (Texas)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. Rosa Gomez De Jesus allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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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. Rosa Gomez De Jesus 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
Rosa Gomez De Jesus, MD
Po Box 783311,
Philadelphia, PA 19178-3311

Ph: (484) 884-4500
Rosa Gomez De Jesus, MD
400 N 17th St, Suite 202,
Allentown, PA 18104-5052

Ph: (484) 664-2450

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Pediatrics Doctors in Allentown, PA

Dr. Ruchi Gupta, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 401 N 17th St, Suite 309, Allentown, PA 18104
Phone: 610-437-6687    
Dr. Douglas Mchale, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-7712    Fax: 224-484-1306
Dr. Sajani Jitendra Sukhadia, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1611 Pond Rd Ste 400, Allentown, PA 18104
Phone: 610-402-8000    
Dr. Heather Noreen Becker, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-9750    
Sara S Viessman, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1627 W Chew St, Suite 601, Allentown, PA 18102
Phone: 610-969-2555    
Paige Payne, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 450 Chew St Ste 203, Allentown, PA 18102
Phone: 484-503-3058    
Daniel Helmut Ublagger, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Cedar Crest Blvd Fl 6, Allentown, PA 18103
Phone: 610-402-7712    Fax: 484-224-1306

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