Dr Meaza Gebreselassie, MD is a medicare enrolled "Internal Medicine" physician in Galthersburg, Maryland. She graduated from medical school in 1983 and has 42 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc, Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and her current practice location is
501 North Frederick Avenue, Galthersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 258-7265.
Dr Meaza Gebreselassie is licensed to practice in Maryland (license number D57688) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164595450.
Physician's Profile
| Full Name | Dr Meaza Gebreselassie |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 42 Years |
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| Location | 501 North Frederick Avenue, Galthersburg, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Meaza Gebreselassie graduated from medical school in 1983
NPI Data:
- NPI Number: 1164595450
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 01/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850381229
- Enrollment ID: I20040517000896
Medical Identifiers
Medical identifiers for Dr Meaza Gebreselassie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164595450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 0101231342 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | D57688 (Maryland) | Primary |
| 207R00000X | Internal Medicine | MD33514 (District Of Columbia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc | 3779495858 | 1628 |
| Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc | 3779495858 | 1628 |
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 Meaza Gebreselassie allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308 |
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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. Dr Meaza Gebreselassie 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 |
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Dr Meaza Gebreselassie, MD
2101 East Jefferson Street, Kaiser Permanente Mid Atlantic Permanente Medical Group,
Rockville, MD 20852-4908
Ph: (301) 816-6660 | Dr Meaza Gebreselassie, MD
501 North Frederick Avenue,
Galthersburg, MD 20877-2598
Ph: (301) 258-7265 |
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