Miteku Desalgne, NP in Burnsville, MN - Medicare Nurse Practitioner

Miteku Desalgne, NP is a medicare enrolled "Nurse Practitioner - Family" in Burnsville, Minnesota. His current practice location is 11995 County Rd 11, Suite 220, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (773) 653-9790.

Miteku Desalgne is licensed to practice in Illinois (license number 209022406) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164028296.

Contact Information

	Miteku Desalgne, NP
	11995 County Rd 11, Suite 220, Burnsville, MN 55337-2177
	(773) 653-9790
	Not Available

Map and Direction

Provider's Profile

Full Name	Miteku Desalgne
Gender	Male
Speciality	Nurse Practitioner - Family
Location	11995 County Rd 11, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164028296
Provider Enumeration Date: 12/04/2020
Last Update Date: 11/09/2021

Medicare PECOS Information:

PECOS PAC ID: 8820471899
Enrollment ID: I20220824001667

Medical Identifiers

Medical identifiers for Miteku Desalgne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164028296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209022406 (Illinois)	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. Miteku Desalgne allows following entities to bill medicare on his behalf.

Entity Name	Ketamine Wellness Centers Minnesota Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689234882 PECOS PAC ID: 0941683619 Enrollment ID: O20220812000352

Entity Name	Lakeshore Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437892403 PECOS PAC ID: 9335519891 Enrollment ID: O20221228001810

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. Miteku Desalgne 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
Miteku Desalgne, NP 5865 Neal Ave N # 340, Stillwater, MN 55082-2177 Ph: () -	Miteku Desalgne, NP 11995 County Rd 11, Suite 220, Burnsville, MN 55337-2177 Ph: (773) 653-9790

Reviews and Comments

Nurse Practitioner Nurses in Burnsville, MN

Jeremy Leclaire, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-460-4000
Chara J Anderson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-892-7190 Fax: 952-892-7956
Michelle L Paulsen, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-892-7190 Fax: 952-892-7956
Ms. Therese Mary Maas, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14551 County Road 11 Ste 100, Burnsville, MN 55337 Phone: 952-841-2345 Fax: 952-841-2346
Sherri Fuller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Suite 200, Burnsville, MN 55337 Phone: 952-460-4000 Fax: 952-460-4000
Dr. Pennie Elizabeth Bucilla, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Mcandrews Rd W, Burnsville, MN 55337 Phone: 952-892-9393 Fax: 952-800-8892
Angela Vogel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 Phone: 952-428-0200

Miteku Desalgne, NP - Medicare Nurse Practitioner in Burnsville, MN