Dr Moges Lemma Hailemariam, FNP/DNP in Emeryville, CA

Dr Moges Lemma Hailemariam, FNP/DNP is a medicare enrolled "Nurse Practitioner - Family" in Emeryville, California. His current practice location is 1335 Stanford Ave, Emeryville, California. You can reach out to his office (for appointments etc.) via phone at (510) 647-5101.

Dr Moges Lemma Hailemariam is licensed to practice in California (license number 95020486) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750031068.

Contact Information

	Dr Moges Lemma Hailemariam, FNP/DNP
	1335 Stanford Ave, Emeryville, CA 94608-2536
	(510) 647-5101
	(510) 647-5105

Map and Direction

Provider's Profile

Full Name	Dr Moges Lemma Hailemariam
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1335 Stanford Ave, Emeryville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750031068
Provider Enumeration Date: 03/28/2022
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6709323777
Enrollment ID: I20240808000753

Medical Identifiers

Medical identifiers for Dr Moges Lemma Hailemariam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750031068	NPI	-	NPPES
6360511283	Other	DC	NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95020486 (California)	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. Dr Moges Lemma Hailemariam allows following entities to bill medicare on his behalf.

Entity Name	Pain And Rehabilitative Consultants Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952466963 PECOS PAC ID: 0345138392 Enrollment ID: O20040310000346

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. Dr Moges Lemma Hailemariam 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
Dr Moges Lemma Hailemariam, FNP/DNP 1335 Stanford Ave, Emeryville, CA 94608-2536 Ph: (510) 647-5101	Dr Moges Lemma Hailemariam, FNP/DNP 1335 Stanford Ave, Emeryville, CA 94608-2536 Ph: (510) 647-5101

Reviews and Comments

Nurse Practitioner Nurses in Emeryville, CA

Yi Chen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1480 64th St Ste 100, Emeryville, CA 94608 Phone: 510-629-6682
Eugenia Brazal Magahis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Powell St, Suite 900, Emeryville, CA 94608 Phone: 510-350-2600 Fax: 510-879-9084
Leah Jane Tapscott, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6121 Hollis St Ste 900, Emeryville, CA 94608 Phone: 510-974-2800
Ms. Carrie Christine Voyce, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1335 Stanford Ave, Emeryville, CA 94608 Phone: 510-647-5101
Laura Millener, RN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1333 Powell St Ste A103, Emeryville, CA 94608 Phone: 415-658-6791
Emily Hunter Birnbaum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5800 Hollis St, Emeryville, CA 94608 Phone: 510-806-2100 Fax: 510-806-2548
Rebecca Riseman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5915 Hollis St Ste B, Emeryville, CA 94608 Phone: 510-286-8160

Dr Moges Lemma Hailemariam, FNP/DNP - Medicare Nurse Practitioner in Emeryville, CA