Derartu Fessa Hayato, - Clinical Nurse Specialist in White Bear Lake, MN

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Derartu Fessa Hayato, is a Clinical Nurse Specialist - Long-term Care based in White Bear Lake, Minnesota. Derartu Fessa Hayato is licensed to practice in Minnesota (license number 1109803) and her current practice location is 3857 Van Dyke St, White Bear Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at (952) 688-7128.

NPI number for Derartu Fessa Hayato is 1912629890 and her current mailing address is 3857 Van Dyke St, White Bear Lake, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912629890.

Contact Information

Derartu Fessa Hayato,
3857 Van Dyke St,
White Bear Lake, MN 55110-4347
(952) 688-7128
Not Available

Map and Direction




Provider's Profile

Full NameDerartu Fessa Hayato
GenderFemale
SpecialityClinical Nurse Specialist - Long-term Care
Location3857 Van Dyke St, White Bear Lake, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912629890
  • Provider Enumeration Date: 09/16/2022
  • Last Update Date: 05/31/2024

Medical Identifiers

Medical identifiers for Derartu Fessa Hayato such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912629890NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SL0600XClinical Nurse Specialist - Long-term Care 1109803 (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. Derartu Fessa Hayato 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 AddressPractice Location Address
Derartu Fessa Hayato,
3857 Van Dyke St,
White Bear Lake, MN 55110-4347

Ph: (952) 688-7128		Derartu Fessa Hayato,
3857 Van Dyke St,
White Bear Lake, MN 55110-4347

Ph: (952) 688-7128

Reviews and Comments


Clinical Nurse Specialist Nurses in White Bear Lake, MN


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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.

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