Tedbabework M Ayele, in Minneapolis, MN - Medicare Nurse Practitioner

Tedbabework M Ayele, is a medicare enrolled "Nurse Practitioner - Primary Care" in Minneapolis, Minnesota. Her current practice location is 324 E 35th St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 827-7181.

Tedbabework M Ayele is licensed to practice in Minnesota (license number 9622) 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 1700593811.

Contact Information

	Tedbabework M Ayele,
	324 E 35th St, Minneapolis, MN 55408-4580
	(612) 827-7181
	Not Available

Map and Direction

Provider's Profile

Full Name	Tedbabework M Ayele
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	324 E 35th St, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700593811
Provider Enumeration Date: 10/31/2022
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 5698144327
Enrollment ID: I20230713001764

Medical Identifiers

Medical identifiers for Tedbabework M Ayele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700593811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	9622 (Minnesota)	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. Tedbabework M Ayele allows following entities to bill medicare on her behalf.

Entity Name	Southside Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538137757 PECOS PAC ID: 8921027228 Enrollment ID: O20051116000311

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. Tedbabework M Ayele 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
Tedbabework M Ayele, 2168 Quail Creek Pkwy Ne, Blaine, MN 55449-3901 Ph: (612) 296-2757	Tedbabework M Ayele, 324 E 35th St, Minneapolis, MN 55408-4580 Ph: (612) 827-7181

Reviews and Comments

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Tedbabework M Ayele, - Medicare Nurse Practitioner in Minneapolis, MN