Girma T Assefa, MD is a medicare enrolled "Emergency Medicine" physician in Shawnee, Kansas. His current practice location is
7405 Renner Rd, Shawnee, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 588-2200.
Girma T Assefa is licensed to practice in Kansas (license number 04-34804) 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 1134321292.
Physician's Profile
| Full Name | Girma T Assefa |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 7405 Renner Rd, Shawnee, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134321292
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 08/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 2264526367
- Enrollment ID: I20070920000265
Medical Identifiers
Medical identifiers for Girma T Assefa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134321292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 04-34804 (Kansas) | Primary |
| 207Q00000X | Family Medicine | 2004016792 (Missouri) | Secondary |
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. Girma T Assefa allows following entities to bill medicare on his behalf.
| Entity Name | Kansas University Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922144856
PECOS PAC ID: 8921911587
Enrollment ID: O20101228000020 |
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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. Girma T Assefa 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 |
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Girma T Assefa, MD
10000 E 66th Ter,
Raytown, MO 64133-5251
Ph: (816) 737-1037 | Girma T Assefa, MD
7405 Renner Rd,
Shawnee, KS 66217-9414
Ph: (913) 588-2200 |
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