Derartu Fessa Hayato, is a
Clinical Nurse Specialist - Long-term Care based in Vadnais Heights, Minnesota. Derartu Fessa Hayato is licensed to practice in Minnesota (license number 1109803) and her current practice location is
653 Parkwood Cir, Vadnais Heights, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 688-7128.
NPI number for Derartu Fessa Hayato is 1912629890 and her current mailing address is 653 Parkwood Cir, Vadnais Heights, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912629890.
Provider's Profile
| Full Name | Derartu Fessa Hayato |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Long-term Care |
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| Location | 653 Parkwood Cir, Vadnais Heights, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912629890
- Provider Enumeration Date: 09/16/2022
- Last Update Date: 09/16/2022
Medical Identifiers
Medical identifiers for Derartu Fessa Hayato such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912629890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SL0600X | Clinical Nurse Specialist - Long-term Care | 1109803 (Minnesota) | 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. Derartu Fessa Hayato 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 |
|---|
Derartu Fessa Hayato,
653 Parkwood Cir,
Vadnais Heights, MN 55127-7024
Ph: (952) 688-7128 | Derartu Fessa Hayato,
653 Parkwood Cir,
Vadnais Heights, MN 55127-7024
Ph: (952) 688-7128 |
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