Gomer Go, in Vienna, WV - Medicare Physical Therapist Provider

Gomer Go, is a medicare enrolled "Physical Therapist" provider in Vienna, West Virginia. His current practice location is 203 Covington Way, Vienna, West Virginia. You can reach out to his office (for appointments etc.) via phone at (740) 371-0610.

Gomer Go is licensed to practice in * (Not Available) (license number ) 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 1386201507.

Contact Information

	Gomer Go,
	203 Covington Way, Vienna, WV 26105-8096
	(740) 371-0610
	Not Available

Healthcare Provider's Profile

Full Name	Gomer Go
Gender	Male
Speciality	Physical Therapist
Location	203 Covington Way, Vienna, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386201507
Provider Enumeration Date: 05/22/2019
Last Update Date: 05/22/2019

Medicare PECOS Information:

PECOS PAC ID: 5597128504
Enrollment ID: I20230823004112

Medical Identifiers

Medical identifiers for Gomer Go such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386201507	NPI	-	NPPES
F903373	Other	WV	DRIVER'S LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Gomer Go 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
Gomer Go, 2600 Compass Rd, Glenview, IL 60026-8001 Ph: () -	Gomer Go, 203 Covington Way, Vienna, WV 26105-8096 Ph: (740) 371-0610

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Physical Therapist in Vienna, WV

Markus Brunzel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-693-2781
Brittany Lynne Vass, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1605 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-7290 Fax: 304-295-5922
Andrew Robinson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave, Suite 101, Vienna, WV 26105 Phone: 304-295-3060 Fax: 304-295-3065
Mr. Chad Copeland, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1158 46th St, Vienna, WV 26105 Phone: 304-295-3131 Fax: 304-295-0700
Joseph Alan Trout, PT, DPT, MS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-295-3060
Ms. Diana Theresia Benton, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Grand Central Ave, Suite 101, Vienna, WV 26105 Phone: 304-295-3060
Mrs. Stephanie Marie Foutty, MPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1605 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-7290 Fax: 304-295-5922

Gomer Go, - Medicare Physical Therapist in Vienna, WV