Rosa M Gomez, FNP-C - Medicare Nurse Practitioner in Avondale, AZ

Rosa M Gomez, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Avondale, Arizona. Her current practice location is 10815 W Mcdowell Rd Ste 202, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at (622) 433-0202.

Rosa M Gomez is licensed to practice in Arizona (license number 243243) 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 1891573176.

Contact Information

Rosa M Gomez, FNP-C
10815 W Mcdowell Rd Ste 202,
Avondale, AZ 85392-5010
(622) 433-0202
(623) 433-0204



Provider's Profile

Full NameRosa M Gomez
GenderFemale
SpecialityNurse Practitioner - Family
Location10815 W Mcdowell Rd Ste 202, Avondale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891573176
  • Provider Enumeration Date: 09/19/2023
  • Last Update Date: 12/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577914548
  • Enrollment ID: I20240104001232

Medical Identifiers

Medical identifiers for Rosa M Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891573176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 243243 (Arizona)Secondary
363LF0000XNurse Practitioner - Family 243243 (Arizona)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 M Gomez allows following entities to bill medicare on her behalf.
Entity NameIntegrated Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760441141
PECOS PAC ID: 1052328408
Enrollment ID: O20060309000742

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Entity NameSummit Healthcare Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467878108
PECOS PAC ID: 8729205737
Enrollment ID: O20140815000931

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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 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 AddressPractice Location Address
Rosa M Gomez, FNP-C
3815 E Bell Rd Ste 2200,
Phoenix, AZ 85032-2139

Ph: (602) 633-3848
Rosa M Gomez, FNP-C
10815 W Mcdowell Rd Ste 202,
Avondale, AZ 85392-5010

Ph: (622) 433-0202

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› Verified 2 days ago


Nurse Practitioner Nurses in Avondale, AZ

Mr. Justin Markel Belford, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3426 N 126th Dr, Avondale, AZ 85392
Phone: 623-695-4011    
Courtney Standifird,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392
Phone: 623-935-1000    
Kia Lambeth,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392
Phone: 623-936-3312    Fax: 623-936-4248
Amy Christine Amore,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392
Phone: 623-547-0522    
Mrs. Marytza Olivas-osuna, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13055 W Mcdowell Rd Ste G112, Avondale, AZ 85392
Phone: 623-322-5900    
Joyce Bour, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12729 W Monte Vista Rd, Avondale, AZ 85392
Phone: 623-792-0209    
Bolatito Oyeronke Okougbo, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10926 W Ivory Ln, Avondale, AZ 85392
Phone: 623-977-7644    

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