Lidia Teshome Degefa, MD is a
Student In An Organized Health Care Education/training Program physician based in Pine Bluff, Arkansas. Lidia Teshome Degefa is licensed to practice in * (Not Available) (license number ) and her current practice location is 1601 W 40th Ave, Pine Bluff, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 541-6010.
NPI number for Lidia Teshome Degefa is 1194427120 and her current mailing address is 212 Sunset Pl Unit B, Redfield, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194427120.
Physician's Profile
Full Name | Lidia Teshome Degefa |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1601 W 40th Ave, Pine Bluff, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194427120
- Provider Enumeration Date: 03/21/2023
- Last Update Date: 01/12/2025
Medical Identifiers
Medical identifiers for Lidia Teshome Degefa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194427120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 18735 (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice 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 |
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