Lidet Tesema, - Registered Nurse in Ellicott City, MD

Lidet Tesema, is a Registered Nurse - Critical Care Medicine based in Ellicott City, Maryland. Lidet Tesema is licensed to practice in Maryland (license number R223458) and her current practice location is 11789 Triadelphia Rd, Ellicott City, Maryland. She can be reached at her office (for appointments etc.) via phone at (240) 764-9932.

NPI number for Lidet Tesema is 1861237976 and her current mailing address is 11789 Triadelphia Rd, Ellicott City, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861237976.

Contact Information

Lidet Tesema,
11789 Triadelphia Rd,
Ellicott City, MD 21042-1001
(240) 764-9932
Not Available

Map and Direction




Provider's Profile

Full NameLidet Tesema
GenderFemale
SpecialityRegistered Nurse - Critical Care Medicine
Location11789 Triadelphia Rd, Ellicott City, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861237976
  • Provider Enumeration Date: 06/28/2024
  • Last Update Date: 06/28/2024

Medical Identifiers

Medical identifiers for Lidet Tesema such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861237976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine R223458 (Maryland)Primary

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. Lidet Tesema is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lidet Tesema,
11789 Triadelphia Rd,
Ellicott City, MD 21042-1001

Ph: (240) 764-9932
Lidet Tesema,
11789 Triadelphia Rd,
Ellicott City, MD 21042-1001

Ph: (240) 764-9932

Reviews and Comments


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