Roselyn Omungo, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Live Oak, Texas. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hillside Primary Care Pllc and her current practice location is
12881 N Ih 35, Live Oak, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 742-6555.
Roselyn Omungo is licensed to practice in Texas (license number 1155605) 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 1467212282.
Physician's Profile
| Full Name | Roselyn Omungo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 12881 N Ih 35, Live Oak, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Roselyn Omungo graduated from medical school in 2023
NPI Data:
- NPI Number: 1467212282
- Provider Enumeration Date: 03/20/2024
- Last Update Date: 06/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739623091
- Enrollment ID: I20240627004199
Medical Identifiers
Medical identifiers for Roselyn Omungo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467212282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1155605 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1155605 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hillside Primary Care Pllc | 0648530386 | 54 |
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. Roselyn Omungo allows following entities to bill medicare on her behalf.
| Entity Name | Hillside Primary Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205349040
PECOS PAC ID: 0648530386
Enrollment ID: O20180129000878 |
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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. Roselyn Omungo 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 Address | Practice Location Address |
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Roselyn Omungo, FNP-C
12881 N Ih 35,
Live Oak, TX 78233-2966
Ph: (210) 742-6555 | Roselyn Omungo, FNP-C
12881 N Ih 35,
Live Oak, TX 78233-2966
Ph: (210) 742-6555 |
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