Lidia Teshome Degefa, MD - Medicare Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

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Lidia Teshome Degefa, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Pine Bluff, Arkansas. Her current practice location is 1601 W 40th Ave, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 541-6010.

Lidia Teshome Degefa is licensed to practice in * (Not Available) (license number ) 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 1194427120.

Contact Information

Lidia Teshome Degefa, MD
1601 W 40th Ave,
Pine Bluff, AR 71603-6069
(870) 541-6010
(870) 541-6009

Map and Direction




Physician's Profile

Full NameLidia Teshome Degefa
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location1601 W 40th Ave, Pine Bluff, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194427120
  • Provider Enumeration Date: 03/21/2023
  • Last Update Date: 01/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517496086
  • Enrollment ID: I20250129000196

Medical Identifiers

Medical identifiers for Lidia Teshome Degefa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194427120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 18735 (Arkansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Lidia Teshome Degefa allows following entities to bill medicare on her behalf.
Entity NameArkansas Emergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774630
PECOS PAC ID: 3274681341
Enrollment ID: O20090501000014
Entity NameHospital Care Consultants Of Fordyce Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316497464
PECOS PAC ID: 5395024475
Enrollment ID: O20161112000042
Entity NameEss Of Fordyce Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821547977
PECOS PAC ID: 1254611601
Enrollment ID: O20161201001070
Entity NameEss Of Mcgehee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639822653
PECOS PAC ID: 0749677516
Enrollment ID: O20220426000293

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. Lidia Teshome Degefa 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
Lidia Teshome Degefa, MD
212 Sunset Pl Unit B,
Redfield, AR 72132-8653

Ph: (901) 364-1627		Lidia Teshome Degefa, MD
1601 W 40th Ave,
Pine Bluff, AR 71603-6069

Ph: (870) 541-6010

Reviews and Comments



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.