Individual ProviderYvette GomezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8118 Good Luck Rd, Lanham, MD 20706-3574(301) 526-6341PECOS EnrollmentBased on the most recent information from CMS, provider Yvette Gomez 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 today at 10:04 AM.Profile DetailsProvider ID1922640408Provider TypeIndividualFull NameGomez, YvetteTitleMs.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/16/2019Last Updated7/6/2021Contact InformationPractice LocationPractice Address8118 Good Luck Rd, Lanham, MD 20706-3574Phone(301) 526-6341FaxUnlisted FaxMailing LocationMailing Address18902 Ebbtide Cir, Germantown, MD 20874-1993Phone(301) 526-6341FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR189890Maryland