Santa Badeg Sisay, - Medicare Nurse Practitioner in Irving, TX

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Santa Badeg Sisay, is a medicare enrolled "Nurse Practitioner - Family" in Irving, Texas. Her current practice location is 4545 Fuller Dr Ste 325, Irving, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 870-5511.

Santa Badeg Sisay is licensed to practice in Texas (license number 2021160672) 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 1033857073.

Contact Information

Santa Badeg Sisay,
4545 Fuller Dr Ste 325,
Irving, TX 75038-6530
(972) 870-5511
(972) 870-5512

Map and Direction




Provider's Profile

Full NameSanta Badeg Sisay
GenderFemale
SpecialityNurse Practitioner - Family
Location4545 Fuller Dr Ste 325, Irving, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033857073
  • Provider Enumeration Date: 05/20/2022
  • Last Update Date: 07/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2668826223
  • Enrollment ID: I20230929003060

Medical Identifiers

Medical identifiers for Santa Badeg Sisay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033857073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1088909 (Texas)Secondary
363LF0000XNurse Practitioner - Family 2021160672 (Texas)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. Santa Badeg Sisay allows following entities to bill medicare on her behalf.
Entity NameTexas Physician Resources, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639413289
PECOS PAC ID: 7012161375
Enrollment ID: O20130214000159
Entity NamePediatric Emergency Medicine Group, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629448535
PECOS PAC ID: 9931409943
Enrollment ID: O20151124000478
Entity NameLevel One Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528790193
PECOS PAC ID: 7810371044
Enrollment ID: O20220907000904
Entity NameLevel One Emergency Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427780097
PECOS PAC ID: 0941684179
Enrollment ID: O20220907001111
Entity NameEvernorth Care Providers - Delaware Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033981097
PECOS PAC ID: 6002217973
Enrollment ID: O20240206004349
Entity NameLevel One Emergency Anna Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285329516
PECOS PAC ID: 4486094232
Enrollment ID: O20240426003513

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. Santa Badeg Sisay 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
Santa Badeg Sisay,
1605 E Wells Branch Pkwy,
Pflugerville, TX 78660-3993

Ph: (571) 235-9932		Santa Badeg Sisay,
4545 Fuller Dr Ste 325,
Irving, TX 75038-6530

Ph: (972) 870-5511

Reviews and Comments


Nurse Practitioner Nurses in Irving, TX

Bilkish Chunara,
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Phone: 972-253-4370    Fax: 972-823-6407
Mrs. Tien Vu, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6750 N Macarthur Blvd Ste 211, Irving, TX 75039
Phone: 214-647-1533    
Jilly John,
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Practice Location: 6363 N State Highway 161 Ste 100, Irving, TX 75038
Phone: 469-200-3272    
Chelsea Jean Hawkins, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4425 W Airport Fwy Ste 450, Irving, TX 75062
Phone: 469-726-4402    
Andrea Nicole Fernandez, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1111 S Irving Heights Dr, Irving, TX 75060
Phone: 972-579-7979    
Ellen Cathleen Allison, RNCWHCNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2001 N Macarthur Blvd, Ste 540, Irving, TX 75061
Phone: 972-253-5000    Fax: 972-253-1109
Esther Boro,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Belt Line Rd Ste 201, Irving, TX 75061
Phone: 214-631-9992    

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.