Dr Tewodros Desie Gizatu, PMHNP in Tacoma, WA

Dr Tewodros Desie Gizatu, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tacoma, Washington. His current practice location is 321 116th St S, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 537-3022.

Dr Tewodros Desie Gizatu is licensed to practice in Washington (license number AP61266932) 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 1114675840.

Contact Information

	Dr Tewodros Desie Gizatu, PMHNP
	321 116th St S, Tacoma, WA 98444-5405
	(253) 537-3022
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Tewodros Desie Gizatu
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	321 116th St S, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114675840
Provider Enumeration Date: 03/11/2022
Last Update Date: 03/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4587043906
Enrollment ID: I20220615001515

Medical Identifiers

Medical identifiers for Dr Tewodros Desie Gizatu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114675840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60732624 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61266932 (Washington)	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 Tewodros Desie Gizatu allows following entities to bill medicare on his behalf.

Entity Name	Navos
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194728105 PECOS PAC ID: 4385545474 Enrollment ID: O20040120001086

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 Tewodros Desie Gizatu 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 Tewodros Desie Gizatu, PMHNP 321 116th St S, Tacoma, WA 98444-5405 Ph: (253) 537-3022	Dr Tewodros Desie Gizatu, PMHNP 321 116th St S, Tacoma, WA 98444-5405 Ph: (253) 537-3022

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191

Dr Tewodros Desie Gizatu, PMHNP - Medicare Nurse Practitioner in Tacoma, WA