Mrs Kedest Gebreselassie, FNP - Medicare Nurse Practitioner in Dumfries, VA

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Mrs Kedest Gebreselassie, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dumfries, Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Care Llc, Mary Washington Healthcare Physicians and her current practice location is 16712 Jefferson Davis Hwy, Dumfries, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 221-7467.

Mrs Kedest Gebreselassie is licensed to practice in Virginia (license number 0024173128) 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 1265897391.

Contact Information

Mrs Kedest Gebreselassie, FNP
16712 Jefferson Davis Hwy,
Dumfries, VA 22026-2115
(703) 221-7467
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kedest Gebreselassie
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location16712 Jefferson Davis Hwy, Dumfries, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kedest Gebreselassie graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1265897391
  • Provider Enumeration Date: 12/16/2015
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941503932
  • Enrollment ID: I20160126000557

Medical Identifiers

Medical identifiers for Mrs Kedest Gebreselassie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265897391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024173128 (Virginia)Secondary
163W00000XRegistered Nurse 0001200565 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024173128 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Care Llc004245820061
Mary Washington Healthcare Physicians2769546530296

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. Mrs Kedest Gebreselassie allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417076829
PECOS PAC ID: 6709960891
Enrollment ID: O20080228000067
Entity NameMary Washington Healthcare Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295999852
PECOS PAC ID: 2769546530
Enrollment ID: O20090123000298
Entity NameWashington Behavioral Health, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083854392
PECOS PAC ID: 9537210117
Enrollment ID: O20120209000529
Entity NameLegacy Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902149776
PECOS PAC ID: 0042458200
Enrollment ID: O20130529000542
Entity NameArman C Moshyedi Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366005183
PECOS PAC ID: 7911331665
Enrollment ID: O20200131001977
Entity NameCenter For Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699135244
PECOS PAC ID: 9830528900
Enrollment ID: O20200413000132
Entity NameBright Bee-havior Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508581026
PECOS PAC ID: 0042684953
Enrollment ID: O20230316000265
Entity NameLegacy Care Aco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538844857
PECOS PAC ID: 3274996426
Enrollment ID: O20230906000290

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. Mrs Kedest Gebreselassie 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
Mrs Kedest Gebreselassie, FNP
16712 Jefferson Davis Hwy,
Dumfries, VA 22026-2115

Ph: (703) 221-7467		Mrs Kedest Gebreselassie, FNP
16712 Jefferson Davis Hwy,
Dumfries, VA 22026-2115

Ph: (703) 221-7467

Reviews and Comments


Nurse Practitioner Nurses in Dumfries, VA

Angela Ann Fasanella, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 17739 Main St Ste 110, Dumfries, VA 22026
Phone: 703-574-3415    Fax: 757-452-5768
Yoko Akamine Elsasser, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025
Phone: 703-441-7500    Fax: 540-644-8805
Priya Bhattarai,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16712 Jefferson Davis Hwy, Dumfries, VA 22026
Phone: 866-389-7272    
Mrs. Judy Lorraine Reynolds, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025
Phone: 703-441-7500    Fax: 540-374-1164
Zahida Noor,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3990 Fettler Park Dr, Dumfries, VA 22025
Phone: 571-499-5813    
Susan Wood Roohr, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025
Phone: 703-441-7500    
Judy Billig Mcmanus, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5129 Olivia Way, Dumfries, VA 22025
Phone: 434-531-2598    

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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