Clive Gomilla, NP-C in Humble, TX - Medicare Nurse Practitioner

Clive Gomilla, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Humble, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Houston Cardiovascular Assoc Pa and his current practice location is 18980 W Memorial Dr, #100, Humble, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 644-8930.

Clive Gomilla is licensed to practice in Texas (license number 1031969) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568047249.

Contact Information

	Clive Gomilla, NP-C
	18980 W Memorial Dr, #100, Humble, TX 77338
	(832) 644-8930
	Not Available

Map and Direction

Provider's Profile

Full Name	Clive Gomilla
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	18980 W Memorial Dr, Humble, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clive Gomilla attended and graduated from University Of Texas Medical Branch At Galveston in 2020

NPI Data:

NPI Number: 1568047249
Provider Enumeration Date: 03/14/2021
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 1355749839
Enrollment ID: I20211014000044

Medical Identifiers

Medical identifiers for Clive Gomilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568047249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1031969 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Houston Cardiovascular Assoc Pa	7911992151	84

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. Clive Gomilla allows following entities to bill medicare on his behalf.

Entity Name	Rajiv Agarwal Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720550015 PECOS PAC ID: 6305184011 Enrollment ID: O20190205000851

Entity Name	Rajiv Agarwal Md Pa
Entity Type	Part B Supplier - Intensive Cardiac Rehabilitation
Entity Identifiers	NPI Number: 1598407017 PECOS PAC ID: 6305184011 Enrollment ID: O20230914001132

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. Clive Gomilla 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
Clive Gomilla, NP-C 2123 Endicott Ln, Sugar Land, TX 77478-6027 Ph: (832) 875-5762	Clive Gomilla, NP-C 18980 W Memorial Dr, #100, Humble, TX 77338 Ph: (832) 644-8930

Reviews and Comments

Nurse Practitioner Nurses in Humble, TX

Tyler Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Humble Place Dr, Humble, TX 77338 Phone: 281-369-9514
Monica S Jackson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 93 Isaacks Rd, Humble, TX 77338 Phone: 281-446-7159
Kimbria Nicole Blunt, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6621 Fm 1960 Rd E Ste 151, Humble, TX 77346 Phone: 281-346-7752 Fax: 866-263-0972
Michael Chen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18838 S Memorial Dr Ste 106, Humble, TX 77338 Phone: 713-338-6422
Amanda Graff, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Hwy 59 N, Humble, TX 77339 Phone: 281-348-8000
Ruth W Nginyi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17202 Spirit Falls Ct, Humble, TX 77346 Phone: 832-896-2836
Kacy Hincapie, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18835 Mckay Dr, Humble, TX 77338 Phone: 832-644-8930

Clive Gomilla, NP-C - Medicare Nurse Practitioner in Humble, TX