Dagmawit Aberham Negash I, is a medicare enrolled "Social Worker" provider in San Jose, California. Her current practice location is
160 E Virginia St Ste 280, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 457-7100.
Dagmawit Aberham Negash I is licensed to practice in California (license number ACSW102696) 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 1154931970.
Healthcare Provider's Profile
Full Name | Dagmawit Aberham Negash I |
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Gender | Female |
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Speciality | Social Worker |
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Location | 160 E Virginia St Ste 280, San Jose, California |
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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: 1154931970
- Provider Enumeration Date: 08/06/2020
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638510761
- Enrollment ID: I20240507003307
Medical Identifiers
Medical identifiers for Dagmawit Aberham Negash I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154931970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
104100000X | Social Worker | ACSW102696 (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. Dagmawit Aberham Negash I allows following entities to bill medicare on her behalf.
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
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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. Dagmawit Aberham Negash I 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 |
Dagmawit Aberham Negash I, 160 E Virginia St Ste 100, San Jose, CA 95112-5865 Ph: () - | Dagmawit Aberham Negash I, 160 E Virginia St Ste 280, San Jose, CA 95112-5817 Ph: (408) 457-7100 |
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