Tewodros Fesseha, MD in Southfield, MI

Tewodros Fesseha, MD is a medicare enrolled "Urology" physician in Southfield, Michigan. His current practice location is 22255 Greenfield Rd, Suite 240, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 552-8525.

Tewodros Fesseha is licensed to practice in Michigan (license number 4301056254) 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 1225098783.

Contact Information

	Tewodros Fesseha, MD
	22255 Greenfield Rd, Suite 240, Southfield, MI 48075-3710
	(248) 552-8525
	(248) 552-1134

Map and Direction

Physician's Profile

Full Name	Tewodros Fesseha
Gender	Male
Speciality	Urology
Location	22255 Greenfield Rd, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225098783
Provider Enumeration Date: 03/27/2006
Last Update Date: 10/02/2014

Medicare PECOS Information:

PECOS PAC ID: 3274502471
Enrollment ID: I20170721002790

Medical Identifiers

Medical identifiers for Tewodros Fesseha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225098783	NPI	-	NPPES
34063119028	Other	MI	BCBSM
413271410	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	4301056254 (Michigan)	Primary

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. Tewodros Fesseha allows following entities to bill medicare on his behalf.

Entity Name	St Alexius Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146

Entity Name	Sanford Bismarck
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403

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. Tewodros Fesseha 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
Tewodros Fesseha, MD 22255 Greenfield Rd, Suite 240, Southfield, MI 48075-3710 Ph: (248) 552-8525	Tewodros Fesseha, MD 22255 Greenfield Rd, Suite 240, Southfield, MI 48075-3710 Ph: (248) 552-8525

Reviews and Comments

Urology Doctors in Southfield, MI

Dr. Marc Stuart Arnkoff, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 26400 W 12 Mile Rd, Suite 70, Southfield, MI 48034 Phone: 248-569-3009 Fax: 248-569-0670
Dr. James Bernard Smith Jr., M.D., PH.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 203, Southfield, MI 48075 Phone: 248-569-4897 Fax: 248-569-5226
Dr. Patrick Michael Hurley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 203, Southfield, MI 48075 Phone: 248-569-4897 Fax: 248-569-5226
Dr. Jeffrey Lawrence O'connor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 203, Southfield, MI 48075 Phone: 248-569-0155 Fax: 248-569-5226
Melvin Laverne Hollowell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield, #507, Southfield, MI 48075 Phone: 248-559-5640 Fax: 248-559-7945
Dr. Raymond Joseph Winfield Jr., M.D. Urology Medicare: Medicare Enrolled Practice Location: 22250 Providence Dr, Suite 203, Southfield, MI 48075 Phone: 248-569-4897 Fax: 248-569-5226

Tewodros Fesseha, MD - Medicare Urology in Southfield, MI