Mr Berhanu Kebede Bedassa, PMHNP - Medicare Nurse Practitioner in Portland, OR

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Mr Berhanu Kebede Bedassa, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. His current practice location is 13250 Ne Shaver St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (213) 249-6973.

Mr Berhanu Kebede Bedassa is licensed to practice in Oregon (license number 201707152NP-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093260622.

Contact Information

Mr Berhanu Kebede Bedassa, PMHNP
13250 Ne Shaver St,
Portland, OR 97230-1453
(213) 249-6973
Not Available

Map and Direction




Provider's Profile

Full NameMr Berhanu Kebede Bedassa
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location13250 Ne Shaver St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093260622
  • Provider Enumeration Date: 08/24/2016
  • Last Update Date: 11/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527346543
  • Enrollment ID: I20161026001886

Medical Identifiers

Medical identifiers for Mr Berhanu Kebede Bedassa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093260622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN61256180 (Washington)Secondary
363LF0000XNurse Practitioner - Family 95004776 (California)Secondary
163W00000XRegistered Nurse 201606248RN (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61370238 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 201707152NP-PP (Oregon)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. Mr Berhanu Kebede Bedassa allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameEmergency Physicians Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689963845
PECOS PAC ID: 8527234418
Enrollment ID: O20111227000049
Entity NameGrand Avenue Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962913632
PECOS PAC ID: 7315206653
Enrollment ID: O20180112002313

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. Mr Berhanu Kebede Bedassa 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
Mr Berhanu Kebede Bedassa, PMHNP
13250 Ne Shaver St,
Portland, OR 97230-1453

Ph: (213) 249-6973		Mr Berhanu Kebede Bedassa, PMHNP
13250 Ne Shaver St,
Portland, OR 97230-1453

Ph: (213) 249-6973

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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