Daleso Yadetta, PA in Coon Rapids, MN - Medicare Physician Assistant

Daleso Yadetta, PA is a medicare enrolled "Physician Assistant" in Coon Rapids, Minnesota. Her current practice location is 11850 Blackfoot St Nw Ste 100, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 712-2100.

Daleso Yadetta is licensed to practice in Minnesota (license number 12817) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962977728.

Contact Information

	Daleso Yadetta, PA
	11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774
	(763) 712-2100
	(763) 712-2190

Map and Direction

Provider's Profile

Full Name	Daleso Yadetta
Gender	Female
Speciality	Physician Assistant
Location	11850 Blackfoot St Nw Ste 100, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962977728
Provider Enumeration Date: 10/09/2018
Last Update Date: 10/09/2018

Medicare PECOS Information:

PECOS PAC ID: 9133473739
Enrollment ID: I20181119000599

Medical Identifiers

Medical identifiers for Daleso Yadetta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962977728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	12817 (Minnesota)	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. Daleso Yadetta 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
Daleso Yadetta, PA 2550 University Ave W Ste 110n, Saint Paul, MN 55114-2001 Ph: (651) 602-5311	Daleso Yadetta, PA 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774 Ph: (763) 712-2100

Reviews and Comments

Physician Assistant Nurses in Coon Rapids, MN

Gretchen Olsen Zachel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1879 128th Ave Nw, Coon Rapids, MN 55448 Phone: 763-767-9113
Mrs. Ashlee Ann Taylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-427-9980
Kathryn Ann Alvarez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 634-279-9807 Fax: 763-427-0904
Mr. Aaron Ssemujju, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000
Chelsie Nicole Horner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 300, Coon Rapids, MN 55433 Phone: 763-236-9000
Rhiannon Sophie Weston, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Mr. Lorenzo Angelo Pavoloni, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000

Daleso Yadetta, PA - Medicare Physician Assistant in Coon Rapids, MN