Tesfatsiyon Mammo Ergando, MD in Minneapolis, MN

Tesfatsiyon Mammo Ergando, MD is a medicare enrolled "Internal Medicine" physician in Minneapolis, Minnesota. His current practice location is 420 Delaware Street Se, Mmc 284, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 626-5454.

Tesfatsiyon Mammo Ergando is licensed to practice in Minnesota (license number 72769) 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 1043884224.

Contact Information

	Tesfatsiyon Mammo Ergando, MD
	420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455
	(612) 626-5454
	Not Available

Map and Direction

Physician's Profile

Full Name	Tesfatsiyon Mammo Ergando
Gender	Male
Speciality	Internal Medicine
Location	420 Delaware Street Se, Mmc 284, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043884224
Provider Enumeration Date: 05/13/2021
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2163822305
Enrollment ID: I20221228002930

Medical Identifiers

Medical identifiers for Tesfatsiyon Mammo Ergando such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043884224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	72769 (Minnesota)	Secondary
207R00000X	Internal Medicine	72769 (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. Tesfatsiyon Mammo Ergando allows following entities to bill medicare on his behalf.

Entity Name	Unity Family Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732

Entity Name	Community Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203

Entity Name	Cuyuna Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861414518 PECOS PAC ID: 9537146550 Enrollment ID: O20040707000501

Entity Name	Unity Family Healthcare
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549

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. Tesfatsiyon Mammo Ergando 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
Tesfatsiyon Mammo Ergando, MD 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 Ph: (612) 626-5454	Tesfatsiyon Mammo Ergando, MD 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 Ph: (612) 626-5454

Reviews and Comments

Internal Medicine Doctors in Minneapolis, MN

Pascal Frino, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3183
Dr. Ronald Alexander Reilkoff, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422
Eugenia Shmidt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 507-284-2511
Daniel Tesfaye Kebed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 Fax: 612-273-4098
Tenzin Yangchen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026
Shelley M Lennox, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St, Suite 700, Minneapolis, MN 55407 Phone: 612-863-9062 Fax: 612-863-9252
Dr. Markus Meyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000

Tesfatsiyon Mammo Ergando, MD - Medicare Internal Medicine in Minneapolis, MN