Samirawit Hailemariam, CRNP in Ellicott City, MD

Samirawit Hailemariam, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ellicott City, Maryland. Her current practice location is 9527 Liverpool Lane, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at (214) 466-0640.

Samirawit Hailemariam is licensed to practice in Maryland (license number R231364) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043700412.

Contact Information

	Samirawit Hailemariam, CRNP
	9527 Liverpool Lane, Ellicott City, MD 21042
	(214) 466-0640
	Not Available

Map and Direction

Provider's Profile

Full Name	Samirawit Hailemariam
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9527 Liverpool Lane, Ellicott City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043700412
Provider Enumeration Date: 05/11/2018
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 4183156979
Enrollment ID: I20241017003393

Medical Identifiers

Medical identifiers for Samirawit Hailemariam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043700412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R231364 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R231364 (Maryland)	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. Samirawit Hailemariam allows following entities to bill medicare on her behalf.

Entity Name	Novum Health Services Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770216871 PECOS PAC ID: 6204279045 Enrollment ID: O20240208001049

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. Samirawit Hailemariam 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
Samirawit Hailemariam, CRNP 9448 Sunlit Psge, Ellicott City, MD 21042-5994 Ph: (214) 466-0460	Samirawit Hailemariam, CRNP 9527 Liverpool Lane, Ellicott City, MD 21042 Ph: (214) 466-0640

Reviews and Comments

Nurse Practitioner Nurses in Ellicott City, MD

Susan Marie L'heureux, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Greenway Dr, Ellicott City, MD 21042 Phone: 410-294-1062
Mrs. Lisa Ann Uhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3691 Park Ave Ste 9, Ellicott City, MD 21043 Phone: 301-279-2779
Ms. Helen Lesada-lasam Cruz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2635 Kidwell Pl, Ellicott City, MD 21043 Phone: 410-504-2453
Mrs. Elizabeth Whitfield, MSN, CRNP, MPH, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Ellicott City, MD 21043 Phone: 410-203-1700
Dr. Adebola O Adeleye, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Attn: Minuteclinic Credentialing 2100, Ellicott City, MD 21043 Phone: 410-203-1700
Glory Tataw, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3203a Corporate Ct, Ellicott City, MD 21042 Phone: 410-205-2458
Wafa Nachifa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7668 Blueberry Hill Ln, Ellicott City, MD 21043 Phone: 240-517-1179

Samirawit Hailemariam, CRNP - Medicare Nurse Practitioner in Ellicott City, MD