Mr Mengestab Deri Gebremeskel, PA-C is a medicare enrolled "Physician Assistant - Medical" in Stevenson Ranch, California. His current practice location is
25613 Chase St, Stevenson Ranch, California. You can reach out to his office (for appointments etc.) via phone at
(310) 268-3890.
Mr Mengestab Deri Gebremeskel is licensed to practice in * (Not Available) (license number ) 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 1053407106.
Provider's Profile
Full Name | Mr Mengestab Deri Gebremeskel |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 25613 Chase St, Stevenson Ranch, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053407106
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8224275888
- Enrollment ID: I20130520000234
Medical Identifiers
Medical identifiers for Mr Mengestab Deri Gebremeskel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053407106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | 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. Mr Mengestab Deri Gebremeskel 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 |
Mr Mengestab Deri Gebremeskel, PA-C 25613 Chase St, Stevenson Ranch, CA 91381-1667 Ph: (310) 268-3890 | Mr Mengestab Deri Gebremeskel, PA-C 25613 Chase St, Stevenson Ranch, CA 91381-1667 Ph: (310) 268-3890 |
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