Tewoldebirhan Biru Keresemo, NP is a
Student In An Organized Health Care Education/training Program based in Aurora, Colorado. Tewoldebirhan Biru Keresemo is licensed to practice in * (Not Available) (license number ) and his current practice location is
791 Chambers Rd, Aurora, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 617-2300.
NPI number for Tewoldebirhan Biru Keresemo is 1558034991 and his current mailing address is 4886 S Riviera Way, Aurora, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558034991.
Provider's Profile
| Full Name | Tewoldebirhan Biru Keresemo |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 791 Chambers Rd, Aurora, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558034991
- Provider Enumeration Date: 07/30/2021
- Last Update Date: 01/31/2025
Medical Identifiers
Medical identifiers for Tewoldebirhan Biru Keresemo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558034991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 0996238-NP (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | 0996238-NP (Colorado) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 0996238-NP (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Tewoldebirhan Biru Keresemo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tewoldebirhan Biru Keresemo, NP
4886 S Riviera Way,
Aurora, CO 80015-4708
Ph: (720) 951-6865 | Tewoldebirhan Biru Keresemo, NP
791 Chambers Rd,
Aurora, CO 80011-7112
Ph: (303) 617-2300 |
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