Demitu Baissa-tesfahun, - Medicare Nurse Practitioner in Elk River, MN

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Demitu Baissa-tesfahun, is a medicare enrolled "Nurse Practitioner - Family" in Elk River, Minnesota. Her current practice location is 14181 Business Center Dr Nw, Elk River, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-0500.

Demitu Baissa-tesfahun is licensed to practice in Minnesota (license number 9305) 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 1477287282.

Contact Information

Demitu Baissa-tesfahun,
14181 Business Center Dr Nw,
Elk River, MN 55330-4654
(763) 236-0500
Not Available

Map and Direction




Provider's Profile

Full NameDemitu Baissa-tesfahun
GenderFemale
SpecialityNurse Practitioner - Family
Location14181 Business Center Dr Nw, Elk River, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477287282
  • Provider Enumeration Date: 07/16/2022
  • Last Update Date: 10/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315314655
  • Enrollment ID: I20221031000436

Medical Identifiers

Medical identifiers for Demitu Baissa-tesfahun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477287282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9305 (Minnesota)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. Demitu Baissa-tesfahun allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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. Demitu Baissa-tesfahun 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 AddressPractice Location Address
Demitu Baissa-tesfahun,
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-9000		Demitu Baissa-tesfahun,
14181 Business Center Dr Nw,
Elk River, MN 55330-4654

Ph: (763) 236-0500

Reviews and Comments


Nurse Practitioner Nurses in Elk River, MN

Melissa Christensen Froehlich, PNP
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Medicare: Medicare Enrolled
Practice Location: 530 3rd St Nw, Elk River, MN 55330
Phone: 763-587-4800    Fax: 763-587-4845
Elizabeth Mclean, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 290 Main St Nw, Elk River, MN 55330
Phone: 763-241-0373    
Nancy Jean Pierro, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 14181 Business Center Dr Nw, Elk River, MN 55330
Phone: 763-236-0500    
Kelly Vevea,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 290 Main St Nw, Elk River, MN 55330
Phone: 612-672-2986    
Sharon Marie Koep Dickey, MSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19425 Evans St Nw, Elk River, MN 55330
Phone: 763-389-7686    
Mrs. Kimberly Dawn Bursch-tewalt, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11884 237th Ave Nw, Elk River, MN 55330
Phone: 763-516-6777    

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.