MARIANA C GOMEZ M.S
NPI 1275970436
Speech-Language Pathologist in Santurce, PR
NPI Status: Active since May 29, 2013
Contact Information
SANTURCE MEDICAL MALL OFIC 215 EDIF 1801
SANTURCE, PR
ZIP 00936
Phone: (787) 772-5511
Fax: (787) 754-6359
- Individual
- Female
- Years of Experience 14
- Speech-Language Pathologist
- Accepts Medicare Approved Payment
About MARIANA GOMEZ
This page provides the complete NPI Profile along with additional information for Mariana Gomez, a provider established in Santurce, Puerto Rico with a medical specialization in Speech-language Pathologist and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1275970436 assigned on May 2013. The practitioner's primary taxonomy code is 235Z00000X with license number 108234 (TX). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1275970436
- Provider Name
- MARIANA C GOMEZ M.S
- Gender
- Female
- Entity Type
- Individual
- Location Address
- SANTURCE MEDICAL MALL OFIC 215 EDIF 1801 SANTURCE, PR 00936
- Location Phone
- (787) 772-5511
- Location Fax
- (787) 754-6359
- Mailing Address
- PO BOX 193069 SAN JUAN, PR 00919
- Mailing Phone
- (787) 761-0036
- Mailing Fax
- (787) 754-6359
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-29-2013
- Last Update Date
- 05-29-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 108234
- License State
- TX
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Medicare Participation & PECOS Enrollment Status
Mariana Gomez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6103056437
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140305001439
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275970436, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275970436, enumerated as an "individual" on May 29, 2013.
The provider is located at SANTURCE MEDICAL MALL OFIC 215 EDIF 1801 SANTURCE, PR 00936 and the phone number is (787) 772-5511.
Speech-Language Pathologist with taxonomy code 235Z00000X.
