Eyerusalem Tefera, in Shawnee, KS - Medicare Nurse Practitioner

Eyerusalem Tefera, is a medicare enrolled "Nurse Practitioner - Family" in Shawnee, Kansas. Her current practice location is 7450 Quivira Rd, Shawnee, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 706-2508.

Eyerusalem Tefera is licensed to practice in Kansas (license number 53-82209-052) 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 1184402232.

Contact Information

	Eyerusalem Tefera,
	7450 Quivira Rd, Shawnee, KS 66216-3526
	(913) 706-2508
	Not Available

Map and Direction

Provider's Profile

Full Name	Eyerusalem Tefera
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7450 Quivira Rd, Shawnee, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184402232
Provider Enumeration Date: 09/19/2023
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7810438157
Enrollment ID: I20240926000883

Medical Identifiers

Medical identifiers for Eyerusalem Tefera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184402232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	53-82209-052 (Kansas)	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. Eyerusalem Tefera allows following entities to bill medicare on her behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20240925002329

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. Eyerusalem Tefera 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
Eyerusalem Tefera, 7450 Quivira Rd, Shawnee, KS 66216-3526 Ph: () -	Eyerusalem Tefera, 7450 Quivira Rd, Shawnee, KS 66216-3526 Ph: (913) 706-2508

Reviews and Comments

Nurse Practitioner Nurses in Shawnee, KS

Marta Beshe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5818 Theden St, Shawnee, KS 66218 Phone: 913-271-9429
Michael Shalinsky, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6345 Long Ave, Shawnee, KS 66216 Phone: 913-631-6400
Stephanie Ann Ho, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22104 W 51st Ter, Shawnee, KS 66226 Phone: 785-979-3047
Mrs. Stefani Lim, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10824 Shawnee Mission Parkway, Shawnee, KS 66203 Phone: 913-297-7472 Fax: 913-248-7631
Wesley Howard Thompson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7230 Renner Rd, Shawnee, KS 66217 Phone: 913-962-2122
Marisa Lynn Burdolski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5900 Nieman Rd Ste 300, Shawnee, KS 66203 Phone: 913-515-7859 Fax: 877-569-3050
Jennifer Sue Terrien, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7450 Quivira Rd, Shawnee, KS 66216 Phone: 913-706-2508

Eyerusalem Tefera, - Medicare Nurse Practitioner in Shawnee, KS