Ms Roschelle Renee Omololu, CNM in Los Angeles, CA - Medicare Advanced Practice Midwife

Ms Roschelle Renee Omololu, CNM is a medicare enrolled "Advanced Practice Midwife" in Los Angeles, California. Her current practice location is 1200 N State St, Inpatient Tower - C3f102, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 409-1416.

Ms Roschelle Renee Omololu is licensed to practice in California (license number 2060) 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 1871925222.

Contact Information

	Ms Roschelle Renee Omololu, CNM
	1200 N State St, Inpatient Tower - C3f102, Los Angeles, CA 90089-1001
	(323) 409-1416
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Roschelle Renee Omololu
Gender	Female
Speciality	Advanced Practice Midwife
Location	1200 N State St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871925222
Provider Enumeration Date: 08/07/2013
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4183917909
Enrollment ID: I20170120001902

Medical Identifiers

Medical identifiers for Ms Roschelle Renee Omololu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871925222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	23401 (California)	Secondary
367A00000X	Advanced Practice Midwife	2060 (California)	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. Ms Roschelle Renee Omololu allows following entities to bill medicare on her behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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. Ms Roschelle Renee Omololu 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
Ms Roschelle Renee Omololu, CNM 1200 N State St, Inpatient Tower - C3f102, Los Angeles, CA 90089-1001 Ph: (323) 409-1416	Ms Roschelle Renee Omololu, CNM 1200 N State St, Inpatient Tower - C3f102, Los Angeles, CA 90089-1001 Ph: (323) 409-1416

Reviews and Comments

Advanced Practice Midwife Nurses in Los Angeles, CA

Jacqueline A Rice, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Susan Huser, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, Cedars Sinai Medical Center, Los Angeles, CA 90048 Phone: 310-967-8625
Tamarind Hopper, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1513 S Grand Ave, Los Angeles, CA 90015 Phone: 213-746-1037
Elizabeth Diane Jenkins, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1530 S Olive St, Los Angeles, CA 90015 Phone: 213-746-1037 Fax: 213-746-9379
Dr. Anita Renau Bralock, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1080 N Western Ave, Los Angeles, CA 90029 Phone: 323-957-3737 Fax: 323-957-8777
Ms. Joyce E Okeneme, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 12021 Wilmington Ave, Los Angeles, CA 90059 Phone: 310-668-4515 Fax: 310-763-8909
Jennifer Horch, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 12304 Santa Monica Blvd, Suite 112, Los Angeles, CA 90025 Phone: 310-820-8084 Fax: 310-820-5738

Ms Roschelle Renee Omololu, CNM - Medicare Advanced Practice Midwife in Los Angeles, CA