Demitu Baissa-tesfahun, in Elk River, MN - Medicare Nurse Practitioner

Demitu Baissa-tesfahun, is a medicare enrolled "Nurse Practitioner - Family" in Elk River, Minnesota. Her current practice location is 14181 Business Center Dr Nw, Elk River, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-0500.

Demitu Baissa-tesfahun is licensed to practice in Minnesota (license number 9305) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477287282.

Contact Information

	Demitu Baissa-tesfahun,
	14181 Business Center Dr Nw, Elk River, MN 55330-4654
	(763) 236-0500
	Not Available

Map and Direction

Provider's Profile

Full Name	Demitu Baissa-tesfahun
Gender	Female
Speciality	Nurse Practitioner - Family
Location	14181 Business Center Dr Nw, Elk River, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477287282
Provider Enumeration Date: 07/16/2022
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 7315314655
Enrollment ID: I20221031000436

Medical Identifiers

Medical identifiers for Demitu Baissa-tesfahun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477287282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9305 (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. Demitu Baissa-tesfahun allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Demitu Baissa-tesfahun 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
Demitu Baissa-tesfahun, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Demitu Baissa-tesfahun, 14181 Business Center Dr Nw, Elk River, MN 55330-4654 Ph: (763) 236-0500

Reviews and Comments

Nurse Practitioner Nurses in Elk River, MN

Melissa Christensen Froehlich, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 530 3rd St Nw, Elk River, MN 55330 Phone: 763-587-4800 Fax: 763-587-4845
Elizabeth Mclean, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 290 Main St Nw, Elk River, MN 55330 Phone: 763-241-0373
Nancy Jean Pierro, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14181 Business Center Dr Nw, Elk River, MN 55330 Phone: 763-236-0500
Kelly Vevea, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 290 Main St Nw, Elk River, MN 55330 Phone: 612-672-2986
Sharon Marie Koep Dickey, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19425 Evans St Nw, Elk River, MN 55330 Phone: 763-389-7686
Thomas Andrew Clawson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 3rd St Nw, Elk River, MN 55330 Phone: 763-587-4800
Mrs. Kimberly Dawn Bursch-tewalt, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11884 237th Ave Nw, Elk River, MN 55330 Phone: 763-516-6777

Demitu Baissa-tesfahun, - Medicare Nurse Practitioner in Elk River, MN