Etenesh Molla, NP - Medicare Nurse Practitioner in Desoto, TX

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Etenesh Molla, NP is a medicare enrolled "Nurse Practitioner - Family" in Desoto, Texas. Her current practice location is 2727 Bolton Boone Dr Ste 109, Desoto, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 988-4277.

Etenesh Molla is licensed to practice in Texas (license number AP138863) 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 1043878259.

Contact Information

Etenesh Molla, NP
2727 Bolton Boone Dr Ste 109,
Desoto, TX 75115-2019
(469) 988-4277
Not Available

Map and Direction




Provider's Profile

Full NameEtenesh Molla
GenderFemale
SpecialityNurse Practitioner - Family
Location2727 Bolton Boone Dr Ste 109, Desoto, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043878259
  • Provider Enumeration Date: 06/03/2019
  • Last Update Date: 06/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5294061610
  • Enrollment ID: I20190723002949

Medical Identifiers

Medical identifiers for Etenesh Molla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043878259NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP138863 (Texas)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. Etenesh Molla allows following entities to bill medicare on her behalf.
Entity NameRajiv Agarwal Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720550015
PECOS PAC ID: 6305184011
Enrollment ID: O20190205000851
Entity NameRajiv Agarwal Md Pa
Entity TypePart B Supplier - Intensive Cardiac Rehabilitation
Entity IdentifiersNPI Number: 1598407017
PECOS PAC ID: 6305184011
Enrollment ID: O20230914001132

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. Etenesh Molla 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
Etenesh Molla, NP
18980 W Memorial Dr, Ste 100,
Humble, TX 77338-4394

Ph: (972) 693-3455		Etenesh Molla, NP
2727 Bolton Boone Dr Ste 109,
Desoto, TX 75115-2019

Ph: (469) 988-4277

Reviews and Comments


Nurse Practitioner Nurses in Desoto, TX

Emelda Olisaeke,
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Medicare: Not Enrolled in Medicare
Practice Location: 941 York Dr, Desoto, TX 75115
Phone: 972-283-6286    
Margaret Uyai Okon, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 1670 N Hampton Rd, Suite 100, Desoto, TX 75115
Phone: 972-228-3678    
Lori Elizabeth Secerovic, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1111 South Interstate 35 East, Desoto, TX 75115
Phone: 469-341-7800    
Smart Nwachukwu,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 341 Crystal Lake Dr, Desoto, TX 75115
Phone: 214-872-0280    
Crystal Taylor Capler, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 951 York Dr Ste 105, Desoto, TX 75115
Phone: 214-242-9316    
Jennifer Mccormack, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2715 Bolton Boone Dr Ste B, Desoto, TX 75115
Phone: 972-780-8009    Fax: 972-780-6115

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.