Solomon T Woldegiorgis, MD is a medicare enrolled "Family Medicine" physician in Brooklyn Park,, Minnesota. His current practice location is
10000 Zane Ave N, Fairview Brooklyn Park Clinic, Brooklyn Park,, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 572-5700.
Solomon T Woldegiorgis is licensed to practice in Minnesota (license number 52126) 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 1699955724.
Physician's Profile
Full Name | Solomon T Woldegiorgis |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 10000 Zane Ave N, Brooklyn Park,, Minnesota |
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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: 1699955724
- Provider Enumeration Date: 11/06/2007
- Last Update Date: 01/24/2013
Medicare PECOS Information:
- PECOS PAC ID: 9032255815
- Enrollment ID: I20121212000200
Medical Identifiers
Medical identifiers for Solomon T Woldegiorgis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699955724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 52126 (Minnesota) | 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. Solomon T Woldegiorgis allows following entities to bill medicare on his behalf.
Entity Name | Healthcare Partners Affiliates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
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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. Solomon T Woldegiorgis 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 |
Solomon T Woldegiorgis, MD 10000 Zane Ave N, Fairview Brooklyn Park Clinic, Brooklyn Park, MN 55443-1400 Ph: (763) 572-5700 | Solomon T Woldegiorgis, MD 10000 Zane Ave N, Fairview Brooklyn Park Clinic, Brooklyn Park,, MN 55443-1400 Ph: (763) 572-5700 |
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