Gustavo A Dejesus Gomez (NPI# 1033314190, PAC ID# 8921122730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1033314190 |
| PAC ID by PECOS | 8921122730 |
| Professional Enrollment ID | I20120905000801 |
| Full Name | Gustavo A Dejesus Gomez |
| Organization Legal Name | VEIN AND VASCULAR EXPERTS PLLC |
| Address |
5907 Hillside Heights Dr Lakeland FL 33812-3333 |
| Phone Number | 8639373139 |
| Gender | M |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 7618235839 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100121 | BARTOW REGIONAL MEDICAL CENTER |
| 100157 | LAKELAND REGIONAL MEDICAL CENTER |
| 100052 | WINTER HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5907 Hillside Heights Dr, Lakeland, FL 33812-3333 | 8639373139 | VEIN AND VASCULAR EXPERTS PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | VEIN AND VASCULAR EXPERTS PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cecilia M Mcdonald | Nurse Practitioner | Vein and Vascular Experts Pllc | 5907 Hillside Heights Dr, Lakeland, FL 33812-3333 |
| Street Address |
5907 HILLSIDE HEIGHTS DR |
| City | LAKELAND |
| State | FL |
| Zip | 33812-3333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cecilia M Mcdonald | Nurse Practitioner | Vein and Vascular Experts Pllc | 5907 Hillside Heights Dr, Lakeland, FL 33812-3333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenifer H Valadez | Nurse Practitioner | Bond Clinic Pa | 4730 Exploration Ave, Lakeland, FL 33812-3319 |
| Pedro Ruiz | Internal Medicine | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Lincoln Henry Pitcher IIi | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Carlos I Gabriel | Obstetrics/gynecology | Bond Clinic Pa | 4730 Exploration Ave, Lakeland, FL 33812-3319 |
| Mirtha Alvarez Acevedo | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Michael L Strickland | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Mary Landsberger | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| David G Yrastorza | Dermatology | Dermatology Associates of Central Florida Pa | 3670 Innovation Dr, Lakeland, FL 33812-4105 |
| Luis C Favilli | Family Medicine | 3650 Innovation Dr, Lakeland, FL 33812-4105 | |
| Perwaiz Hussain Rahim | Critical Care (intensivists) | 3656 Innovation Dr, Lakeland, FL 33812-4105 | |
| Find all physicians in zip 33812 | |||
| City | LAKELAND |
| Zip Code | 33812 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | LAKELAND + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Gustavo A Dejesus Gomez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.