Woldemariam Gebreselassie, MD in Fontana, CA

Woldemariam Gebreselassie, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Fontana, California. His current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-3910.

Woldemariam Gebreselassie is licensed to practice in California (license number A43179) 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 1811056427.

Contact Information

	Woldemariam Gebreselassie, MD
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-3910
	Not Available

Map and Direction

Physician's Profile

Full Name	Woldemariam Gebreselassie
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811056427
Provider Enumeration Date: 12/08/2006
Last Update Date: 09/23/2008

Medicare PECOS Information:

PECOS PAC ID: 5890681928
Enrollment ID: I20040225000973

Medical Identifiers

Medical identifiers for Woldemariam Gebreselassie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811056427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A43179 (California)	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. Woldemariam Gebreselassie allows following entities to bill medicare on his behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Woldemariam Gebreselassie 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
Woldemariam Gebreselassie, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910	Woldemariam Gebreselassie, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910

Reviews and Comments

Internal Medicine Doctors in Fontana, CA

Nainesh K. Gandhi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 866-454-3485
Blanca E. Viramontes, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Paymon Mesgarzadeh, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000
Kathryn Chang Lin, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy, Ste 245, Fontana, CA 92336 Phone: 909-829-7337 Fax: 909-829-1218
Lih-jiau Chen, MD Nephrology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Tommy Tiong Hien Oei, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Edmond C. Hui, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Woldemariam Gebreselassie, MD - Medicare Internal Medicine in Fontana, CA