Rediet Haileselassie, MD in Galveston, TX - Medicare General Practice

Rediet Haileselassie, MD is a medicare enrolled "General Practice" physician in Galveston, Texas. Her current practice location is 301 University Blvd, Galveston, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 744-4030.

Rediet Haileselassie is licensed to practice in Texas (license number T3476) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710548763.

Contact Information

	Rediet Haileselassie, MD
	301 University Blvd, Galveston, TX 77555-1250
	(409) 744-4030
	(409) 740-4187

Map and Direction

Physician's Profile

Full Name	Rediet Haileselassie
Gender	Female
Speciality	General Practice
Location	301 University Blvd, Galveston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710548763
Provider Enumeration Date: 06/20/2019
Last Update Date: 06/19/2026

Medicare PECOS Information:

PECOS PAC ID: 2365778123
Enrollment ID: I20230110001279

Medical Identifiers

Medical identifiers for Rediet Haileselassie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710548763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	T3476 (Texas)	Primary
207Q00000X	Family Medicine	BP10067100 (Texas)	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. Rediet Haileselassie allows following entities to bill medicare on her behalf.

Entity Name	Wellmed Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519

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. Rediet Haileselassie 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
Rediet Haileselassie, MD 301 University Blvd, Galveston, TX 77555-1250 Ph: (409) 744-4030	Rediet Haileselassie, MD 301 University Blvd, Galveston, TX 77555-1250 Ph: (409) 744-4030

Reviews and Comments

General Practice Doctors in Galveston, TX

Ali Jahanzaib Haider, General Practice Medicare: Medicare Enrolled Practice Location: 1005 Harborside Drive, Galveston, TX 77555 Phone: 409-772-2531
Dr. John Broussard, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 901 Harborside Dr, Galveston, TX 77550 Phone: 786-843-7869
Lindsey Nicole Bosma, General Practice Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-8271
William Clay Turner, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-2731 Fax: 409-747-2704

Rediet Haileselassie, MD - Medicare General Practice in Galveston, TX