Agazi G Gebreselassie, MD in Glen Burnie, MD

Agazi G Gebreselassie, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Glen Burnie, Maryland. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lifebridge Community Gastroenterology Llc, Alaska Native Tribal Health Consortium, Pinnacle Health Medical Services and his current practice location is 802 Landmark Dr Ste 129, Glen Burnie, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 602-7782.

Agazi G Gebreselassie is licensed to practice in Maryland (license number D81171) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235572843.

Contact Information

	Agazi G Gebreselassie, MD
	802 Landmark Dr Ste 129, Glen Burnie, MD 21061-9121
	(410) 602-7782
	Not Available

Map and Direction

Physician's Profile

Full Name	Agazi G Gebreselassie
Gender	Male
Speciality	Internal Medicine
Experience	21 Years
Location	802 Landmark Dr Ste 129, Glen Burnie, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Agazi G Gebreselassie graduated from medical school in 2004

NPI Data:

NPI Number: 1235572843
Provider Enumeration Date: 04/12/2013
Last Update Date: 03/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6406142447
Enrollment ID: I20160920000250

Medical Identifiers

Medical identifiers for Agazi G Gebreselassie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235572843	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	D81171 (Maryland)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	0101268562 (Virginia)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	D81171 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Md Baltimore Washington Medical Center	Glen burnie, MD	Hospital
Howard County General Hospital	Columbia, MD	Hospital
Alaska Native Medical Center	Anchorage, AK	Hospital
Pinnacle Health Hospitals	Harrisburg, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifebridge Community Gastroenterology Llc	7618108119	50
Alaska Native Tribal Health Consortium	6709780265	504
Pinnacle Health Medical Services	7618960493	976

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. Agazi G Gebreselassie allows following entities to bill medicare on his behalf.

Entity Name	Johns Hopkins Community Physicians, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065

Entity Name	Lifebridge Community Gastroenterology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033558416 PECOS PAC ID: 7618108119 Enrollment ID: O20140326001773

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. Agazi G Gebreselassie 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
Agazi G Gebreselassie, MD 213 S Jefferson St Ste 625, Roanoke, VA 24011-1713 Ph: (540) 224-5516	Agazi G Gebreselassie, MD 802 Landmark Dr Ste 129, Glen Burnie, MD 21061-9121 Ph: (410) 602-7782

Reviews and Comments

Internal Medicine Doctors in Glen Burnie, MD

Mrs. Salvacion Dupaya Ramirez, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7845 Oakwood Rd, Ste 307, Glen Burnie, MD 21061 Phone: 410-760-4888 Fax: 410-760-1870
Anuradha Boddeti, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6934 Aviation Blvd Ste F, Glen Burnie, MD 21061 Phone: 410-760-3588 Fax: 410-760-3604
Dr. Gurmeet Singh Sawhney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 325 Hospital Dr, 202, Glen Burnie, MD 21061 Phone: 410-766-7616 Fax: 410-766-3092
Mirza M. Nusairee, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1401 Madison Park Dr, Suite #100, Glen Burnie, MD 21061 Phone: 410-766-4747 Fax: 410-766-4855
Ijemma Chinomnso Cunningham, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 6934 Aviation Blvd Ste F, Glen Burnie, MD 21061 Phone: 410-760-3588 Fax: 410-760-3604
Dr. Deep H Dalal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1406b Crain Hwy S, Suite 207, Glen Burnie, MD 21061 Phone: 410-590-4730 Fax: 410-590-4737
Sridhar Atluri, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7310 Ritchie Hwy, Suite 800, Glen Burnie, MD 21061 Phone: 410-768-3936 Fax: 410-766-6683

Agazi G Gebreselassie, MD - Medicare Internal Medicine in Glen Burnie, MD