Dr Redieat Assefa, MD is a medicare enrolled "Pediatrics" physician in Jurupa Valley, California. Her current practice location is
5256 Mission Blvd, Jurupa Valley, California. You can reach out to her office (for appointments etc.) via phone at
(951) 955-5378.
Dr Redieat Assefa is licensed to practice in California (license number A150890) 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 1013394311.
Physician's Profile
Full Name | Dr Redieat Assefa |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 5256 Mission Blvd, Jurupa Valley, 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: 1013394311
- Provider Enumeration Date: 05/06/2015
- Last Update Date: 07/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 3173872728
- Enrollment ID: I20180815002999
Medical Identifiers
Medical identifiers for Dr Redieat Assefa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013394311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A150890 (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. Dr Redieat Assefa allows following entities to bill medicare on her behalf.
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
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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 Redieat Assefa 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 |
Dr Redieat Assefa, MD 7888 Mission Grove Pkwy S Ste 120, Riverside, CA 92508-5064 Ph: () - | Dr Redieat Assefa, MD 5256 Mission Blvd, Jurupa Valley, CA 92509 Ph: (951) 955-5378 |
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