Ms Selamawit Tekie Gebreslassie, FNP - Medicare Nurse Practitioner in Santa Rosa, CA

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Ms Selamawit Tekie Gebreslassie, FNP is a medicare enrolled "Nurse Practitioner - Family" in Santa Rosa, California. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 393-4000.

Ms Selamawit Tekie Gebreslassie is licensed to practice in California (license number 17981) 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 1912175787.

Contact Information

Ms Selamawit Tekie Gebreslassie, FNP
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
(707) 393-4000
Not Available

Map and Direction




Provider's Profile

Full NameMs Selamawit Tekie Gebreslassie
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location401 Bicentennial Way, Santa Rosa, California
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:
  • Ms Selamawit Tekie Gebreslassie graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1912175787
  • Provider Enumeration Date: 02/14/2008
  • Last Update Date: 12/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618272022
  • Enrollment ID: I20161006001855

Medical Identifiers

Medical identifiers for Ms Selamawit Tekie Gebreslassie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912175787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 17981 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102258376

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. Ms Selamawit Tekie Gebreslassie allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameSonoma Valley Health Care District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215382973
PECOS PAC ID: 4082980230
Enrollment ID: O20180117000331

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. Ms Selamawit Tekie Gebreslassie 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
Ms Selamawit Tekie Gebreslassie, FNP
Po Box 11643,
Santa Rosa, CA 95406-1643

Ph: (916) 842-8310		Ms Selamawit Tekie Gebreslassie, FNP
401 Bicentennial Way,
Santa Rosa, CA 95403-2149

Ph: (707) 393-4000

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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