Makonnen G Habtemariam Pllc - Medicare Primary Care in Phoenix, AZ

Makonnen G Habtemariam Pllc is a medicare enrolled primary clinic (Internal Medicine) in Phoenix, Arizona. The current practice location for Makonnen G Habtemariam Pllc is 1800 E Van Buren St, Phoenix, Arizona. For appointments, you can reach them via phone at (480) 907-7707. The mailing address for Makonnen G Habtemariam Pllc is Po Box 11773, Chandler, Arizona and phone number is (480) 907-7707.

Makonnen G Habtemariam Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043547938. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (480) 907-7707.

Contact Information

Makonnen G Habtemariam Pllc
1800 E Van Buren St
Phoenix
AZ 85006-3742
(480) 907-7707
(480) 907-7097

Map and Direction


Primary Care Clinic Profile

Full NameMakonnen G Habtemariam Pllc
SpecialityInternal Medicine
Location1800 E Van Buren St, Phoenix, Arizona
Authorized Official Name and PositionMakonnen G Habtemariam (SOLE MEMBER)
Authorized Official Contact4809077707
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Makonnen G Habtemariam Pllc
Po Box 11773
Chandler
AZ 85248-0013

Ph: (480) 907-7707
Makonnen G Habtemariam Pllc
1800 E Van Buren St
Phoenix
AZ 85006-3742

Ph: (480) 907-7707

NPI Details:

NPI Number1043547938
Provider Enumeration Date11/12/2009
Last Update Date04/24/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2264574789
Medicare Enrollment IDO20100121000839

Medical Identifiers

Medical identifiers for Makonnen G Habtemariam Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043547938NPI-NPPES
331918MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Makonnen G Habtemariam Pllc acts as a billing entity for following providers:
Provider NameMakonnen G Habtemariam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851357909
PECOS PAC ID: 1355483876
Enrollment ID: I20100121000838
Provider NameManju Krishnamenon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366733560
PECOS PAC ID: 2769650662
Enrollment ID: I20110720000378

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.