Daleso Yadetta, PA - Medicare Physician Assistant in Coon Rapids, MN

Daleso Yadetta, PA is a medicare enrolled "Physician Assistant" in Coon Rapids, Minnesota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Allina Health System and her current practice location is 11850 Blackfoot St Nw Ste 100, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 712-2100.

Daleso Yadetta is licensed to practice in Minnesota (license number 12817) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962977728.

Contact Information

Daleso Yadetta, PA
11850 Blackfoot St Nw Ste 100,
Coon Rapids, MN 55433-2774
(763) 712-2100
(763) 712-2190

Map and Direction




Provider's Profile

Full NameDaleso Yadetta
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location11850 Blackfoot St Nw Ste 100, Coon Rapids, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daleso Yadetta graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1962977728
  • Provider Enumeration Date: 10/09/2018
  • Last Update Date: 10/09/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9133473739
  • Enrollment ID: I20181119000599

Medical Identifiers

Medical identifiers for Daleso Yadetta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962977728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 12817 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133101

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. Daleso Yadetta 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 AddressPractice Location Address
Daleso Yadetta, PA
2550 University Ave W Ste 110n,
Saint Paul, MN 55114-2001

Ph: (651) 602-5311
Daleso Yadetta, PA
11850 Blackfoot St Nw Ste 100,
Coon Rapids, MN 55433-2774

Ph: (763) 712-2100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.