Alemu Kassa Reta, is a
Nurse Practitioner - Psychiatric/mental Health based in Center City, Minnesota. Alemu Kassa Reta is licensed to practice in Minnesota (license number 9751) and his current practice location is
15251 Pleasant Valley Rd, Center City, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 213-4984.
NPI number for Alemu Kassa Reta is 1790490241 and his current mailing address is 3318 138th Ave Nw, Andover, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790490241.
Provider's Profile
Full Name | Alemu Kassa Reta |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 15251 Pleasant Valley Rd, Center City, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790490241
- Provider Enumeration Date: 01/19/2023
- Last Update Date: 01/19/2023
Medical Identifiers
Medical identifiers for Alemu Kassa Reta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790490241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9751 (Minnesota) | 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. Alemu Kassa Reta 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 |
Alemu Kassa Reta, 3318 138th Ave Nw, Andover, MN 55304-7508 Ph: (612) 978-2232 | Alemu Kassa Reta, 15251 Pleasant Valley Rd, Center City, MN 55012-9640 Ph: (651) 213-4984 |
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