Berhanu Ejigu Kededa, NP-C in Tucker, GA - Medicare Nurse Practitioner

Berhanu Ejigu Kededa, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Tucker, Georgia. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Daiya Healthcare Pllc, Daiya Healthcare Pllc and his current practice location is 5576 Princeton Run Trl, Tucker, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 793-8808.

Berhanu Ejigu Kededa is licensed to practice in Georgia (license number RN152429) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184994105.

Contact Information

	Berhanu Ejigu Kededa, NP-C
	5576 Princeton Run Trl, Tucker, GA 30084-8463
	(678) 793-8808
	Not Available

Map and Direction

Provider's Profile

Full Name	Berhanu Ejigu Kededa
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	5576 Princeton Run Trl, Tucker, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Berhanu Ejigu Kededa graduated from nursing school in 2011

NPI Data:

NPI Number: 1184994105
Provider Enumeration Date: 01/06/2012
Last Update Date: 01/06/2012

Medicare PECOS Information:

PECOS PAC ID: 5991957011
Enrollment ID: I20220713002031

Medical Identifiers

Medical identifiers for Berhanu Ejigu Kededa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184994105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN152429 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Daiya Healthcare Pllc	6002158615	108
Daiya Healthcare Pllc	6002158615	108

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. Berhanu Ejigu Kededa allows following entities to bill medicare on his behalf.

Entity Name	Daiya Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200309000992

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. Berhanu Ejigu Kededa 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
Berhanu Ejigu Kededa, NP-C 5576 Princeton Run Trl, Tucker, GA 30084-8463 Ph: (678) 793-8808	Berhanu Ejigu Kededa, NP-C 5576 Princeton Run Trl, Tucker, GA 30084-8463 Ph: (678) 793-8808

Reviews and Comments

Nurse Practitioner Nurses in Tucker, GA

Ms. Dorothy Delisfort-crisostomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4228 1st Ave Ste 1, Tucker, GA 30084 Phone: 833-583-4778 Fax: 833-583-4779
Katrina R Bader, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Cres Ctr Pkwy, Department Of Research, Tucker, GA 30084 Phone: 770-496-3770
Mrs. Melanie Noelle Mcmillan, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2260 Northlake Pkwy Ste 211, Tucker, GA 30084 Phone: 770-491-1344
Solina Jinju Chiang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400
Harriett Laschell Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400
Cassandra A Westbrook, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4088 Brookside Manor Dr, Tucker, GA 30084 Phone: 770-686-3428 Fax: 770-686-3428
Dr. Turnisha Monique Carter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3469 Lawrenceville Hwy Ste 103, Tucker, GA 30084 Phone: 770-939-6480 Fax: 770-638-1961

Berhanu Ejigu Kededa, NP-C - Medicare Nurse Practitioner in Tucker, GA