Tenbit Etafa, LPCC in Saint Paul, MN - Medicare Counselor Provider

Tenbit Etafa, LPCC is a medicare enrolled "Counselor - Professional" provider in Saint Paul, Minnesota. Her current practice location is 2136 Ford Pkwy # 5609, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 361-0305.

Tenbit Etafa is licensed to practice in Minnesota (license number CC04107) 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 1346014206.

Contact Information

	Tenbit Etafa, LPCC
	2136 Ford Pkwy # 5609, Saint Paul, MN 55116-2850
	(612) 361-0305
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tenbit Etafa
Gender	Female
Speciality	Counselor - Professional
Location	2136 Ford Pkwy # 5609, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346014206
Provider Enumeration Date: 11/10/2023
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2860834041
Enrollment ID: I20240521001181

Medical Identifiers

Medical identifiers for Tenbit Etafa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346014206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC04107 (Minnesota)	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. Tenbit Etafa allows following entities to bill medicare on her behalf.

Entity Name	Harmony Mental Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003674326 PECOS PAC ID: 1951743137 Enrollment ID: O20240521000980

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. Tenbit Etafa 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
Tenbit Etafa, LPCC 2136 Ford Pkwy # 5609, Saint Paul, MN 55116-2850 Ph: (612) 361-0305	Tenbit Etafa, LPCC 2136 Ford Pkwy # 5609, Saint Paul, MN 55116-2850 Ph: (612) 361-0305

Reviews and Comments

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Tenbit Etafa, LPCC - Medicare Counselor in Saint Paul, MN