Mahlet Afesse, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Dallas, Texas. Her current practice location is
5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 648-1701.
Mahlet Afesse is licensed to practice in Texas (license number PA16386) 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 1689382715.
Provider's Profile
| Full Name | Mahlet Afesse |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5323 Harry Hines Blvd, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689382715
- Provider Enumeration Date: 11/08/2022
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638526882
- Enrollment ID: I20231108003991
Medical Identifiers
Medical identifiers for Mahlet Afesse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689382715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | PA16386 (Texas) | 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. Mahlet Afesse 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 |
|---|
Mahlet Afesse,
5323 Harry Hines Blvd,
Dallas, TX 75390-9090
Ph: (214) 648-1701 | Mahlet Afesse,
5323 Harry Hines Blvd,
Dallas, TX 75390-9090
Ph: (214) 648-1701 |
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