Fitsum Woldesellassie, in Woodstock, GA - Medicare Internal Medicine

Fitsum Woldesellassie, is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Woodstock, Georgia. His current practice location is 900 Towne Lake Pkwy Ste 308, Woodstock, Georgia. You can reach out to his office (for appointments etc.) via phone at (414) 805-3310.

Fitsum Woldesellassie is licensed to practice in Georgia (license number 100672) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194257279.

Contact Information

	Fitsum Woldesellassie,
	900 Towne Lake Pkwy Ste 308, Woodstock, GA 30189-1604
	(414) 805-3310
	Not Available

Map and Direction

Physician's Profile

Full Name	Fitsum Woldesellassie
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	900 Towne Lake Pkwy Ste 308, Woodstock, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194257279
Provider Enumeration Date: 03/29/2017
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3274883939
Enrollment ID: I20230623001184

Medical Identifiers

Medical identifiers for Fitsum Woldesellassie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194257279	NPI	-	NPPES
1194257279	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	100672 (Georgia)	Primary
207RG0100X	Internal Medicine - Gastroenterology	8176020 (Wisconsin)	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. Fitsum Woldesellassie allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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. Fitsum Woldesellassie 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
Fitsum Woldesellassie, 900 Towne Lake Pkwy Ste 308, Woodstock, GA 30189-1604 Ph: () -	Fitsum Woldesellassie, 900 Towne Lake Pkwy Ste 308, Woodstock, GA 30189-1604 Ph: (414) 805-3310

Reviews and Comments

Internal Medicine Doctors in Woodstock, GA

Dr. Vanessa C Womack, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 960 Woodstock Pkwy Ste 300, Woodstock, GA 30188 Phone: 770-517-2145 Fax: 770-517-2147
Dr. Cesar Isaac Cruz Aguilar, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 900 Towne Lake Pkwy, Ste 400, Woodstock, GA 30189 Phone: 770-924-5095 Fax: 770-924-7429
Dr. Stanley R Mogelnicki, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 145 N Medical Pkwy, Woodstock, GA 30189 Phone: 770-592-3000 Fax: 770-592-3012
Bram Wieskopf, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1192 Buckhead Xing, Suite E, Woodstock, GA 30189 Phone: 678-494-4450 Fax: 678-494-6265
Vineet Gurram Reddy, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 120 Stonebridge Pkwy Ste 320, Woodstock, GA 30189 Phone: 770-422-1372
Dr. Hima Bindu Kadiyala, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 970 Woodstock Pkwy, Suite 100, Woodstock, GA 30188 Phone: 678-388-5750 Fax: 678-388-5785

Fitsum Woldesellassie, - Medicare Internal Medicine in Woodstock, GA