Miss Beserat Legesse Kibret, NURSE PRACTITIONER in Bowie, MD

Miss Beserat Legesse Kibret, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bowie, Maryland. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Axis Healthcare Group, Axis Healthcare Group, Toller Enterprises, Llc and her current practice location is 14999 Health Center Dr Ste 202, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 249-8100.

Miss Beserat Legesse Kibret is licensed to practice in Maryland (license number R203681) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578139689.

Contact Information

	Miss Beserat Legesse Kibret, NURSE PRACTITIONER
	14999 Health Center Dr Ste 202, Bowie, MD 20716-1079
	(301) 249-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Beserat Legesse Kibret
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	14999 Health Center Dr Ste 202, Bowie, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Beserat Legesse Kibret graduated from nursing school in 2020

NPI Data:

NPI Number: 1578139689
Provider Enumeration Date: 05/29/2021
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID: 9234526120
Enrollment ID: I20220422002160

Medical Identifiers

Medical identifiers for Miss Beserat Legesse Kibret such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578139689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R203681 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Medical Center	Washington, DC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Axis Healthcare Group	1254409550	47

Axis Healthcare Group	1254409550	47
Toller Enterprises, Llc	8628481926	29

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. Miss Beserat Legesse Kibret allows following entities to bill medicare on her behalf.

Entity Name	Axis Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20120919000403

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

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. Miss Beserat Legesse Kibret 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
Miss Beserat Legesse Kibret, NURSE PRACTITIONER 14999 Health Center Dr Ste 202, Bowie, MD 20716-1079 Ph: (301) 249-8100	Miss Beserat Legesse Kibret, NURSE PRACTITIONER 14999 Health Center Dr Ste 202, Bowie, MD 20716-1079 Ph: (301) 249-8100

Reviews and Comments

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Marie Binta Kanu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 Tulip Tree Dr, Bowie, MD 20721 Phone: 240-460-5287
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Mrs. Shavonne Marie Gumbs, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6111 High Bridge Rd, Bowie, MD 20720 Phone: 301-503-1490 Fax: 301-576-5197

Miss Beserat Legesse Kibret, NURSE PRACTITIONER - Medicare Nurse Practitioner in Bowie, MD