Tadesse Kebede Debele, MD, MS in Las Vegas, NV

Tadesse Kebede Debele, MD, MS is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. His current practice location is 4900 W Craig Rd, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (252) 693-3687.

Tadesse Kebede Debele is licensed to practice in Nevada (license number 26094) 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 1164999660.

Contact Information

	Tadesse Kebede Debele, MD, MS
	4900 W Craig Rd, Las Vegas, NV 89130-2737
	(252) 693-3687
	(725) 293-5350

Map and Direction

Physician's Profile

Full Name	Tadesse Kebede Debele
Gender	Male
Speciality	Family Medicine
Location	4900 W Craig Rd, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164999660
Provider Enumeration Date: 11/01/2018
Last Update Date: 08/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2860731213
Enrollment ID: I20241002002263

Medical Identifiers

Medical identifiers for Tadesse Kebede Debele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164999660	NPI	-	NPPES
1164999660	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R7887 (Arizona)	Secondary
363A00000X	Physician Assistant	PA2058 (Nevada)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	R78887 (Arizona)	Secondary
207Q00000X	Family Medicine	26094 (Nevada)	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. Tadesse Kebede Debele allows following entities to bill medicare on his behalf.

Entity Name	Archwell Health Professional Services Of Nevada Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487303145 PECOS PAC ID: 3779966999 Enrollment ID: O20220819001584

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. Tadesse Kebede Debele 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
Tadesse Kebede Debele, MD, MS 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: () -	Tadesse Kebede Debele, MD, MS 4900 W Craig Rd, Las Vegas, NV 89130-2737 Ph: (252) 693-3687

Reviews and Comments

Family Medicine Doctors in Las Vegas, NV

Patricia May B. Lacsina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2704 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-877-5199
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Dr. Chad Robinson Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470

Tadesse Kebede Debele, MD, MS - Medicare Family Medicine in Las Vegas, NV