Michelle Gomez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720652084

Michelle Gomez is a Physician Assistant in Fort Collins, Colorado. Qualified in 2021, 5 years ago. Practices with Rocky Mountain Clinics LLC, a 49-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying: 5
Licensed in: CO
In the registry since: 2021
Specialties on file: 2

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Practice location Address checks out

1120 E Elizabeth St Ste 2
Fort Collins, CO 80524-4044
Phone: (970) 493-9193

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence PA.0006856 (CO)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1720652084
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	May 19, 2021
Last updated in NPPES	July 1, 2021
Certification date	July 1, 2021
Mailing address	14549 E 26th Ave, Aurora, CO 80011-2404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2021 (5 years in practice)
Group practice	Rocky Mountain Clinics Llc — 49 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Telehealth	Offers telehealth services

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