Assefa Ejigu Mekonnen, PMHNP in Los Angeles, CA

Assefa Ejigu Mekonnen, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Addis Medical Group A Medical Corporation and his current practice location is 1711 W Temple St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 989-6100.

Assefa Ejigu Mekonnen is licensed to practice in California (license number 95001041) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942605126.

Contact Information

	Assefa Ejigu Mekonnen, PMHNP
	1711 W Temple St, Los Angeles, CA 90026-7329
	(213) 989-6100
	Not Available

Map and Direction

Provider's Profile

Full Name	Assefa Ejigu Mekonnen
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	1711 W Temple St, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Assefa Ejigu Mekonnen graduated from nursing school in 2010

NPI Data:

NPI Number: 1942605126
Provider Enumeration Date: 10/29/2014
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 4880996016
Enrollment ID: I20160105002949

Medical Identifiers

Medical identifiers for Assefa Ejigu Mekonnen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942605126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95001041 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95001041 (California)	Primary
163WP0808X	Registered Nurse - Psychiatric/mental Health	95001041 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Addis Medical Group A Medical Corporation	0941463335	16

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. Assefa Ejigu Mekonnen allows following entities to bill medicare on his behalf.

Entity Name	Central City Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235283094 PECOS PAC ID: 6608837331 Enrollment ID: O20041025001177

Entity Name	Michael Gitter, Md, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265668784 PECOS PAC ID: 2769526037 Enrollment ID: O20100224000670

Entity Name	Addis Medical Group A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013289339 PECOS PAC ID: 0941463335 Enrollment ID: O20120522001225

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. Assefa Ejigu Mekonnen 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
Assefa Ejigu Mekonnen, PMHNP Po Box 4570, Palos Verdes Peninsula, CA 90274-9607 Ph: (424) 400-7748	Assefa Ejigu Mekonnen, PMHNP 1711 W Temple St, Los Angeles, CA 90026-7329 Ph: (213) 989-6100

Reviews and Comments

Nurse Practitioner Nurses in Los Angeles, CA

Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190
Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000

Assefa Ejigu Mekonnen, PMHNP - Medicare Nurse Practitioner in Los Angeles, CA