Eyob G Kidane, PA-C in Pasco, WA - Medicare Physician Assistant

Eyob G Kidane, PA-C is a medicare enrolled "Physician Assistant" in Pasco, Washington. His current practice location is 7425 Wrigley Dr, Ste 100, Pasco, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 416-8888.

Eyob G Kidane is licensed to practice in Washington (license number 60564696) 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 1215349998.

Contact Information

	Eyob G Kidane, PA-C
	7425 Wrigley Dr, Ste 100, Pasco, WA 99301-5292
	(509) 416-8888
	(509) 545-6842

Map and Direction

Provider's Profile

Full Name	Eyob G Kidane
Gender	Male
Speciality	Physician Assistant
Location	7425 Wrigley Dr, Pasco, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215349998
Provider Enumeration Date: 05/29/2014
Last Update Date: 08/03/2020

Medicare PECOS Information:

PECOS PAC ID: 0446477087
Enrollment ID: I20150922001188

Medical Identifiers

Medical identifiers for Eyob G Kidane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215349998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	51493 (California)	Secondary
363A00000X	Physician Assistant	60564696 (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. Eyob G Kidane allows following entities to bill medicare on his behalf.

Entity Name	Lourdes Hospital Llc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1831284280 PECOS PAC ID: 1850642562 Enrollment ID: O20180919002474

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. Eyob G Kidane 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
Eyob G Kidane, PA-C 520 N 4th Ave, Pasco, WA 99301-5257 Ph: (509) 416-8849	Eyob G Kidane, PA-C 7425 Wrigley Dr, Ste 100, Pasco, WA 99301-5292 Ph: (509) 416-8888

Reviews and Comments

Physician Assistant Nurses in Pasco, WA

Jesse Manuel Clossey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th Ave, Pasco, WA 99301 Phone: 509-946-2207
Ashley Amey, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1608 Road 44, Pasco, WA 99301 Phone: 509-543-9280 Fax: 509-545-6275
Javier A Huerta, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836
Zandra Magali Melchor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1608 Road 44, Pasco, WA 99301 Phone: 509-543-9280
William Henry Hanson, PA-C, DPM Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5304 N Road 68, Pasco, WA 99301 Phone: 509-543-9300
Ms. Jennelle Ashley Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1608 N Road 44, Pasco, WA 99301 Phone: 509-543-9280 Fax: 509-545-6275

Eyob G Kidane, PA-C - Medicare Physician Assistant in Pasco, WA