Kidest Mezgebe Gebreamanuel, AGACNP in Arlington, TX

Kidest Mezgebe Gebreamanuel, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Arlington, Texas. Her current practice location is 701 S Nedderman Dr, Arlington, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 272-2011.

Kidest Mezgebe Gebreamanuel is licensed to practice in Texas (license number 1113114) 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 1689365785.

Contact Information

	Kidest Mezgebe Gebreamanuel, AGACNP
	701 S Nedderman Dr, Arlington, TX 76019-1800
	(817) 272-2011
	Not Available

Map and Direction

Provider's Profile

Full Name	Kidest Mezgebe Gebreamanuel
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	701 S Nedderman Dr, Arlington, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689365785
Provider Enumeration Date: 05/18/2023
Last Update Date: 05/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0941656854
Enrollment ID: I20231030001676

Medical Identifiers

Medical identifiers for Kidest Mezgebe Gebreamanuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689365785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1113114 (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. Kidest Mezgebe Gebreamanuel allows following entities to bill medicare on her behalf.

Entity Name	Medhealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832

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. Kidest Mezgebe Gebreamanuel 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
Kidest Mezgebe Gebreamanuel, AGACNP 701 S Nedderman Dr, Arlington, TX 76019-9800 Ph: (817) 272-2011	Kidest Mezgebe Gebreamanuel, AGACNP 701 S Nedderman Dr, Arlington, TX 76019-1800 Ph: (817) 272-2011

Reviews and Comments

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Kidest Mezgebe Gebreamanuel, AGACNP - Medicare Nurse Practitioner in Arlington, TX