Misrak Gebissa, is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Creve Coeur, Missouri. Her current practice location is
9 Sackston Woods Ln, Creve Coeur, Missouri. You can reach out to her office (for appointments etc.) via phone at
(877) 748-7030.
Misrak Gebissa is licensed to practice in Missouri (license number AG0416096) 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 1184175085.
Provider's Profile
| Full Name | Misrak Gebissa |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Gerontology |
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| Location | 9 Sackston Woods Ln, Creve Coeur, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184175085
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 10/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 5991084808
- Enrollment ID: I20161117000792
Medical Identifiers
Medical identifiers for Misrak Gebissa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184175085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | AG0416096 (Missouri) | 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. Misrak Gebissa allows following entities to bill medicare on her behalf.
| Entity Name | Mid-town Medical Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023467008 PECOS PAC ID: 5092007625 Enrollment ID: O20160630000334 |
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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. Misrak Gebissa 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 |
Misrak Gebissa, 10315 Tuxford Dr Apt 10, Saint Louis, MO 63146-5825 Ph: (314) 749-3615 | Misrak Gebissa, 9 Sackston Woods Ln, Creve Coeur, MO 63141-8228 Ph: (877) 748-7030 |
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