Anteneh Woldeselassie, PMHNP-DNP in Seattle, WA

Anteneh Woldeselassie, PMHNP-DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Seattle, Washington. His current practice location is 5300 Tallman Ave Nw, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 353-5378.

Anteneh Woldeselassie is licensed to practice in Washington (license number AP61562033) 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 1396465753.

Contact Information

	Anteneh Woldeselassie, PMHNP-DNP
	5300 Tallman Ave Nw, Seattle, WA 98107-3932
	(206) 353-5378
	Not Available

Map and Direction

Provider's Profile

Full Name	Anteneh Woldeselassie
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5300 Tallman Ave Nw, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396465753
Provider Enumeration Date: 08/29/2022
Last Update Date: 05/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6103362124
Enrollment ID: I20240725002420

Medical Identifiers

Medical identifiers for Anteneh Woldeselassie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396465753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61562033 (Washington)	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. Anteneh Woldeselassie allows following entities to bill medicare on his behalf.

Entity Name	Telecare Mental Health Services Of Washington, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780913657 PECOS PAC ID: 5698804409 Enrollment ID: O20100603000217

Entity Name	Vest Thurston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336605849 PECOS PAC ID: 0648512459 Enrollment ID: O20190701002488

Entity Name	Alliance For South Sound Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891298980 PECOS PAC ID: 5395094197 Enrollment ID: O20200327000694

Entity Name	Harbor Youth And Family Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205466265 PECOS PAC ID: 7012338981 Enrollment ID: O20200601002016

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. Anteneh Woldeselassie 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
Anteneh Woldeselassie, PMHNP-DNP 5300 Tallman Ave Nw, Seattle, WA 98107-3932 Ph: (206) 353-5378	Anteneh Woldeselassie, PMHNP-DNP 5300 Tallman Ave Nw, Seattle, WA 98107-3932 Ph: (206) 353-5378

Reviews and Comments

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Anteneh Woldeselassie, PMHNP-DNP - Medicare Nurse Practitioner in Seattle, WA