Dr Tewodros Assefa Kidane, MD, MSC in Fresno, CA

Dr Tewodros Assefa Kidane, MD, MSC is a medicare enrolled "Family Medicine" physician in Fresno, California. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 155 N Fresno St, Family & Community Medicine Department, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 499-6450.

Dr Tewodros Assefa Kidane is licensed to practice in California (license number A110208) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134457161.

Contact Information

	Dr Tewodros Assefa Kidane, MD, MSC
	155 N Fresno St, Family & Community Medicine Department, Fresno, CA 93701-2302
	(559) 499-6450
	(559) 499-6451

Map and Direction

Physician's Profile

Full Name	Dr Tewodros Assefa Kidane
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	155 N Fresno St, Fresno, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tewodros Assefa Kidane graduated from medical school in 1995

NPI Data:

NPI Number: 1134457161
Provider Enumeration Date: 12/02/2009
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7214123850
Enrollment ID: I20101122001281

Medical Identifiers

Medical identifiers for Dr Tewodros Assefa Kidane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134457161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A110208 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 Tewodros Assefa Kidane allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Tewodros Assefa Kidane 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 Tewodros Assefa Kidane, MD, MSC 155 N Fresno St, Family & Community Medicine Department, Fresno, CA 93701-2302 Ph: (559) 499-6450	Dr Tewodros Assefa Kidane, MD, MSC 155 N Fresno St, Family & Community Medicine Department, Fresno, CA 93701-2302 Ph: (559) 499-6450

Reviews and Comments

Family Medicine Doctors in Fresno, CA

Marlyn Cervania Conanan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3636 N 1st St, Suite 150, Fresno, CA 93726 Phone: 559-222-5900 Fax: 559-222-0029
Dr. Ariya Nesa Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7565 N Cedar Ave, Suite 101, Fresno, CA 93720 Phone: 559-438-8888 Fax: 559-438-8887
Dr. Jeannine Laramie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 E Alluvial Ave Ste 103, Fresno, CA 93720 Phone: 559-900-7048 Fax: 559-765-4252
Lourdes Delrosso, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6733 N Willow Ave Ste 107, Fresno, CA 93710 Phone: 559-435-4700 Fax: 559-298-7951
Mr. Salvador Gonzalez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 S Orange Ave, Fresno, CA 93702 Phone: 559-457-5400 Fax: 559-457-5490
Dr. Earl Don Fernando, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4747 N 1st St, Ste134, Fresno, CA 93726 Phone: 559-493-5484 Fax: 559-493-5751
Valerie Tavares Mendoza, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-4500

Dr Tewodros Assefa Kidane, MD, MSC - Medicare Family Practice in Fresno, CA