Dr Heran Winta Gebreyesus, MD - Medicare Ophthalmology in Baltimore, MD

Dr Heran Winta Gebreyesus, MD is a medicare enrolled "Ophthalmology - Glaucoma Specialist" physician in Baltimore, Maryland. Her current practice location is 419 W Redwood St Ste 470, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (667) 214-1111.

Dr Heran Winta Gebreyesus is licensed to practice in Maryland (license number D0100834) 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 1235692229.

Contact Information

Dr Heran Winta Gebreyesus, MD
419 W Redwood St Ste 470,
Baltimore, MD 21201-7009
(667) 214-1111
Not Available

Map and Direction




Physician's Profile

Full NameDr Heran Winta Gebreyesus
GenderFemale
SpecialityOphthalmology - Glaucoma Specialist
Location419 W Redwood St Ste 470, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235692229
  • Provider Enumeration Date: 04/08/2019
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557728037
  • Enrollment ID: I20230530001330

Medical Identifiers

Medical identifiers for Dr Heran Winta Gebreyesus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235692229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207WX0009XOphthalmology - Glaucoma Specialist D0100834 (Maryland)Primary
207WX0009XOphthalmology - Glaucoma Specialist DR.0070713 (Colorado)Secondary

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. Dr Heran Winta Gebreyesus allows following entities to bill medicare on her behalf.
Entity NameDenver Health And Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477569838
PECOS PAC ID: 4688583578
Enrollment ID: O20031105000211
Entity NameUniversity Physicians Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962461889
PECOS PAC ID: 3476465667
Enrollment ID: O20031105000375

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. Dr Heran Winta Gebreyesus 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 AddressPractice Location Address
Dr Heran Winta Gebreyesus, MD
419 W Redwood St Ste 470,
Baltimore, MD 21201-7009

Ph: (667) 214-1197
Dr Heran Winta Gebreyesus, MD
419 W Redwood St Ste 470,
Baltimore, MD 21201-7009

Ph: (667) 214-1111

Reviews and Comments


Ophthalmology Doctors in Baltimore, MD

Dr. Pradeep Y Ramulu, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Wolfe St, Baltimore, MD 21287
Phone: 410-955-6052    
Ashley Behrens, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 600 N. Wolfe Street, Baltimore, MD 21287
Phone: 410-502-0461    
Neil R Miller, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Wolfe St, Baltimore, MD 21287
Phone: 410-955-5080    
Dr. Allan Griffiths Scott, M.D
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 6231 N Charles St, Baltimore, MD 21212
Phone: 410-377-2044    Fax: 410-377-8061
Lily T Im, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 419 W Redwood St, Suite 479, Baltimore, MD 21201
Phone: 410-328-5918    Fax: 410-328-6346
Brinda Muthusamy, MBCHB
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: The Wilmer Eye Institute Johns, 600 North Wolfe Street, Baltimore, MD 21287
Phone: 410-955-8314    
Israel Jesus Mendez Bermudez,
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Wolfe St, Baltimore, MD 21264
Phone: 410-955-5080    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.