Individual ProviderDaisy GomezPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4200 Emile St, Omaha, NE 68198-0001(402) 514-7190PECOS EnrollmentBased on the most recent information from CMS, provider Daisy Gomez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1205672987Provider TypeIndividualFull NameGomez, DaisyGenderFemaleSole ProprietorNoEnumeration Date7/2/2024Last Updated7/2/2024Contact InformationPractice LocationPractice Address4200 Emile St, Omaha, NE 68198-0001Phone(402) 514-7190FaxUnlisted FaxMailing LocationMailing Address4200 Emile St, Omaha, NE 68198-0001Phone(402) 514-7190FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer