Dr Senayet Goitom, DNP is a
Nurse Practitioner physician based in Excelsior, Minnesota. Dr Senayet Goitom is licensed to practice in Minnesota (license number 12484) and her current practice location is 464 2nd St Ste 204, Excelsior, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 787-8408.
NPI number for Dr Senayet Goitom is 1679387054 and her current mailing address is 8745 Davenport St Ne, Blaine, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679387054.
Physician's Profile
| Full Name | Dr Senayet Goitom |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 464 2nd St Ste 204, Excelsior, 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: 1679387054
- Provider Enumeration Date: 02/05/2025
- Last Update Date: 04/27/2025
Medical Identifiers
Medical identifiers for Dr Senayet Goitom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679387054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 12484 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 12484 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 12484 (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. Dr Senayet Goitom 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 |
|---|
Dr Senayet Goitom, DNP
8745 Davenport St Ne,
Blaine, MN 55449-4229
Ph: (612) 499-2098 | Dr Senayet Goitom, DNP
464 2nd St Ste 204,
Excelsior, MN 55331-2015
Ph: (612) 787-8408 |
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