Mr Habtamu Tigabu, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Silver Spring, Maryland. His current practice location is
13306 Dauphine St, Silver Spring, Maryland. You can reach out to his office (for appointments etc.) via phone at
(240) 490-0176.
Mr Habtamu Tigabu is licensed to practice in Maryland (license number R214455) 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 1134621170.
Physician's Profile
Full Name | Mr Habtamu Tigabu |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 13306 Dauphine St, Silver Spring, Maryland |
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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: 1134621170
- Provider Enumeration Date: 03/06/2018
- Last Update Date: 01/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719351345
- Enrollment ID: I20230323000144
Medical Identifiers
Medical identifiers for Mr Habtamu Tigabu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134621170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | R214455 (Maryland) | Secondary |
2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | R214455 (Maryland) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R214455 (Maryland) | 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. Mr Habtamu Tigabu allows following entities to bill medicare on his behalf.
Entity Name | Action Mental Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033995287 PECOS PAC ID: 9537533161 Enrollment ID: O20230323000154 |
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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. Mr Habtamu Tigabu 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 |
Mr Habtamu Tigabu, CRNP-PMH 13306 Dauphine St, Silver Spring, MD 20906-5208 Ph: (240) 490-0176 | Mr Habtamu Tigabu, CRNP-PMH 13306 Dauphine St, Silver Spring, MD 20906-5208 Ph: (240) 490-0176 |
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