Individual ProviderOmar Alfonso GonzalezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203(800) 491-0909PECOS EnrollmentBased on the most recent information from CMS, provider Omar Alfonso Gonzalez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1649094723Provider TypeIndividualFull NameAlfonso Gonzalez, OmarCredentialAPRNGenderMaleSole ProprietorYesEnumeration Date11/14/2024Last Updated5/28/2025Contact InformationPractice LocationPractice AddressSc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxMailing LocationMailing AddressSc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense29561South Carolina