Makeda Domoz Haileselassie, FNP - Medicare Nurse Practitioner in Washington, DC

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Makeda Domoz Haileselassie, FNP is a medicare enrolled "Nurse Practitioner - Family" in Washington, District Of Columbia. Her current practice location is 900 23rd St Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 715-5060.

Makeda Domoz Haileselassie is licensed to practice in District Of Columbia (license number RN1002147) 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 1720228323.

Contact Information

Makeda Domoz Haileselassie, FNP
900 23rd St Nw,
Washington, DC 20037-2342
(202) 715-5060
(202) 741-3396

Map and Direction




Provider's Profile

Full NameMakeda Domoz Haileselassie
GenderFemale
SpecialityNurse Practitioner - Family
Location900 23rd St Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720228323
  • Provider Enumeration Date: 02/23/2009
  • Last Update Date: 11/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608922786
  • Enrollment ID: I20090914000767

Medical Identifiers

Medical identifiers for Makeda Domoz Haileselassie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720228323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN1002147 (District Of Columbia)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. Makeda Domoz Haileselassie allows following entities to bill medicare on her behalf.
Entity NameMedical Faculty Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417990581
PECOS PAC ID: 4082528898
Enrollment ID: O20031117000341
Entity NameWashington Hospital Center Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407870124
PECOS PAC ID: 3577476266
Enrollment ID: O20040630000173
Entity NameDistrict Hospital Partners L P
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487640207
PECOS PAC ID: 0345334785
Enrollment ID: O20110718000242
Entity NameM Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780056168
PECOS PAC ID: 7719278597
Enrollment ID: O20160627000350
Entity NameXcel Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487284717
PECOS PAC ID: 1153742390
Enrollment ID: O20200526003230

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. Makeda Domoz Haileselassie 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 AddressPractice Location Address
Makeda Domoz Haileselassie, FNP
6352 Dakine Cir,
Springfield, VA 22150-1194

Ph: (703) 869-4238		Makeda Domoz Haileselassie, FNP
900 23rd St Nw,
Washington, DC 20037-2342

Ph: (202) 715-5060

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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