Olga A Pudovka Gross, MD, MPH, FNP-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Seguin, Texas. Her current practice location is
705 Rudeloff Rd, Seguin, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 463-9580.
Olga A Pudovka Gross is licensed to practice in Texas (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013799683.
Provider's Profile
| Full Name | Olga A Pudovka Gross |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 705 Rudeloff Rd, Seguin, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013799683
- Provider Enumeration Date: 10/18/2023
- Last Update Date: 12/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234678103
- Enrollment ID: I20240823002137
Medical Identifiers
Medical identifiers for Olga A Pudovka Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013799683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 1141455 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Texas) | Primary |
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. Olga A Pudovka Gross allows following entities to bill medicare on her behalf.
| Entity Name | Prestige Emergency Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730637778 PECOS PAC ID: 5991135386 Enrollment ID: O20200427001975 |
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| Entity Name | Carbon Health Medical Group Of Florida Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477155331 PECOS PAC ID: 3274947304 Enrollment ID: O20210429002238 |
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| Entity Name | Emergency Medicine Services Of Tx, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
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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. Olga A Pudovka Gross 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 |
Olga A Pudovka Gross, MD, MPH, FNP-C 1400 S Coulter St Ste 5100, Amarillo, TX 79106-1786 Ph: (806) 414-9559 | Olga A Pudovka Gross, MD, MPH, FNP-C 705 Rudeloff Rd, Seguin, TX 78155-9226 Ph: (830) 463-9580 |
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