Liliana Michelle Gomez Mendez

M.D. | Pediatric Nephrology | Female

---

Complete Profile:

Liliana Michelle Gomez Mendez basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Liliana Michelle Gomez Mendez
Credential :	M.D.
Gender :	Female

Business Address:

Liliana Michelle Gomez Mendez address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2150 Herbert Ct Greenville, NC, 27834 United States
Phone Number :	252-744-4965
Fax Number :	252-744-4772

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1104184464
NPI Entity Type :	Individual
First Enrolment Date :	24 Apr, 2012
Last Updated On :	10 Dec, 2020

Medicare Participation:

Liliana Michelle Gomez Mendez participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0941596167
Medicare Enrollment ID :	I20180606001859
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2012
Accepts Medicare?	Yes. Liliana Michelle Gomez Mendez accepts medicare insurance.

Group Practice Association:

Liliana Michelle Gomez Mendez is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Liliana Michelle Gomez Mendez is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
East Carolina University	0244143246	378	2150 Herbert Ct Greenville, NC - 278343736 Ph: 2527445437	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Liliana Michelle Gomez Mendez are as mentioned. Primary taxonomy code for Liliana Michelle Gomez Mendez, M.D. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	2018-00341	NC

Legacy Identifiers:

Other legacy medical identifiers of Liliana Michelle Gomez Mendez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
NN19490322	Other	NC	MEDICARE
19W24	Other	NC	BCBS OF NC
1104184464	MEDICAID	NC

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 751069 Charlotte, NC, 28275-1069 United States

Business Location:

Patients can refer following map for directions to Liliana Michelle Gomez Mendez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.