Pawarissara Osathanugrah, - Medicare Ophthalmology in Pflugerville, TX

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Pawarissara Osathanugrah, is a medicare enrolled "Ophthalmology" physician in Pflugerville, Texas. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Health First Physician Specialties Inc, Scott And White Clinic, Palm Beach Eye Center Inc and her current practice location is 2600 E Pflugerville Pkwy Bldg 2, Pflugerville, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 654-6500.

Pawarissara Osathanugrah is licensed to practice in Texas (license number W1076) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679102669.

Contact Information

Pawarissara Osathanugrah,
2600 E Pflugerville Pkwy Bldg 2,
Pflugerville, TX 78660-5998
(512) 654-6500
(512) 654-6501

Map and Direction




Physician's Profile

Full NamePawarissara Osathanugrah
GenderFemale
SpecialityOphthalmology
Experience6 Years
Location2600 E Pflugerville Pkwy Bldg 2, Pflugerville, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pawarissara Osathanugrah graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1679102669
  • Provider Enumeration Date: 04/02/2020
  • Last Update Date: 06/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4981006418
  • Enrollment ID: I20240712001270

Medical Identifiers

Medical identifiers for Pawarissara Osathanugrah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679102669NPI-NPPES
128267600MedicaidFL
V5309OtherFLHFMG

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology ME166255 (Florida)Secondary
207W00000XOphthalmology W1076 (Texas)Primary
207R00000XInternal Medicine 284761 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center PflugervillePflugerville, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health First Physician Specialties Inc953722964654
Scott And White Clinic81239236042442
Palm Beach Eye Center Inc69018467575

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Pawarissara Osathanugrah allows following entities to bill medicare on her behalf.
Entity NamePalm Beach Eye Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497753305
PECOS PAC ID: 6901846757
Enrollment ID: O20050511000230
Entity NameBedotto Wallace Clewner & Kelly, Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285654723
PECOS PAC ID: 0446353478
Enrollment ID: O20070313000379

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pawarissara Osathanugrah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pawarissara Osathanugrah,
Po Box 844658,
Dallas, TX 75284-4658

Ph: (800) 994-0371		Pawarissara Osathanugrah,
2600 E Pflugerville Pkwy Bldg 2,
Pflugerville, TX 78660-5998

Ph: (512) 654-6500

Reviews and Comments


Ophthalmology Doctors in Pflugerville, TX

Adam D. Hart, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 21315 North Sh 130 #b, Pflugerville, TX 78660
Phone: 512-763-0869    Fax: 844-823-8677

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.