Bontu Aberra Deressa, - Student in an Organized Health Care Education/Training Program in Blaine, MN

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Bontu Aberra Deressa, is a Student In An Organized Health Care Education/training Program based in Blaine, Minnesota. Bontu Aberra Deressa is licensed to practice in NU (license number ) and their current practice location is 3636 110th Ln Ne, Blaine, Minnesota. This provider can be reached at their office (for appointments etc.) via phone at (763) 318-8981.

NPI number for Bontu Aberra Deressa is 1720910086 and their current mailing address is 3636 110th Ln Ne, Blaine, Minnesota. This provider does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1720910086.

Contact Information

Bontu Aberra Deressa,
3636 110th Ln Ne,
Blaine, MN 55449-7702
(763) 318-8981
Not Available

Map and Direction




Provider's Profile

Full NameBontu Aberra Deressa
Gender
SpecialityStudent In An Organized Health Care Education/training Program
Location3636 110th Ln Ne, Blaine, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. This provider may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720910086
  • Provider Enumeration Date: 06/01/2026
  • Last Update Date: 06/01/2026

Medical Identifiers

Medical identifiers for Bontu Aberra Deressa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720910086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)Secondary
390200000XStudent In An Organized Health Care Education/training Program (NU)Primary

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. Bontu Aberra Deressa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bontu Aberra Deressa,
3636 110th Ln Ne,
Blaine, MN 55449-7702

Ph: (763) 318-8981		Bontu Aberra Deressa,
3636 110th Ln Ne,
Blaine, MN 55449-7702

Ph: (763) 318-8981

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.