Eden Tsehaye Amdemichael, MD - Medicare General Practice in Baltimore, MD

Eden Tsehaye Amdemichael, MD is a medicare enrolled "Surgery" physician in Baltimore, Maryland. She went to Rush Medical College Of Rush University and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Medical Practices Of Antietam, Llc, St. Agnes Healthcare, Inc. and her current practice location is 3449 Wilkens Ave Ste 101, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (667) 234-2703.

Eden Tsehaye Amdemichael is licensed to practice in Maryland (license number D0089186) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659530509.

Contact Information

Eden Tsehaye Amdemichael, MD
3449 Wilkens Ave Ste 101,
Baltimore, MD 21229-5216
(667) 234-2703
Not Available

Map and Direction




Physician's Profile

Full NameEden Tsehaye Amdemichael
GenderFemale
SpecialityGeneral Practice
Experience16 Years
Location3449 Wilkens Ave Ste 101, Baltimore, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Eden Tsehaye Amdemichael attended and graduated from Rush Medical College Of Rush University in 2008
  NPI Data:
  • NPI Number: 1659530509
  • Provider Enumeration Date: 06/05/2008
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870854417
  • Enrollment ID: I20200615002366

Medical Identifiers

Medical identifiers for Eden Tsehaye Amdemichael such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659530509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery R5691 (Texas)Secondary
208600000XSurgery D0089186 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Practices Of Antietam, Llc2567353865184
St. Agnes Healthcare, Inc.9830092733237

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. Eden Tsehaye Amdemichael allows following entities to bill medicare on her behalf.
Entity NameSt. Agnes Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144250176
PECOS PAC ID: 9830092733
Enrollment ID: O20040128001146
Entity NameMedical Practices Of Antietam, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558430843
PECOS PAC ID: 2567353865
Enrollment ID: O20040324001019

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. Eden Tsehaye Amdemichael 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 AddressPractice Location Address
Eden Tsehaye Amdemichael, MD
3449 Wilkens Ave Ste 101,
Baltimore, MD 21229-5216

Ph: (667) 234-2703
Eden Tsehaye Amdemichael, MD
3449 Wilkens Ave Ste 101,
Baltimore, MD 21229-5216

Ph: (667) 234-2703

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.