Tigist Woldegebrial Haileselassie, PA in Laurel, MD

Tigist Woldegebrial Haileselassie, PA is a medicare enrolled "Physician Assistant - Medical" in Laurel, Maryland. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Matclinic Physicians Practice Group Llc, Mnr Industries Llc and her current practice location is 3357b Corridor Marketplace, Laurel, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 497-1820.

Tigist Woldegebrial Haileselassie is licensed to practice in Maryland (license number C0006033) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1336681105.

Contact Information

	Tigist Woldegebrial Haileselassie, PA
	3357b Corridor Marketplace, Laurel, MD 20724-2381
	(301) 497-1820
	Not Available

Map and Direction

Provider's Profile

Full Name	Tigist Woldegebrial Haileselassie
Gender	Female
Speciality	Physician Assistant
Experience	12 Years
Location	3357b Corridor Marketplace, Laurel, Maryland
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tigist Woldegebrial Haileselassie graduated from nursing school in 2014

NPI Data:

NPI Number: 1336681105
Provider Enumeration Date: 11/10/2016
Last Update Date: 12/02/2025

Medicare PECOS Information:

PECOS PAC ID: 4587091616
Enrollment ID: I20240304000371

Medical Identifiers

Medical identifiers for Tigist Woldegebrial Haileselassie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336681105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	C0006033 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Matclinic Physicians Practice Group Llc	3274804349	21
Mnr Industries Llc	7416908843	124

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. Tigist Woldegebrial Haileselassie 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
Tigist Woldegebrial Haileselassie, PA 4903 Georgia Ave Nw, Washington, DC 20011-4525 Ph: (202) 723-0393	Tigist Woldegebrial Haileselassie, PA 3357b Corridor Marketplace, Laurel, MD 20724-2381 Ph: (301) 497-1820

Reviews and Comments

Physician Assistant Nurses in Laurel, MD

Jennifer Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3357b Corridor Marketplace, Laurel, MD 20724 Phone: 301-497-1820
Mr. Yisroel Yehoshua Schonfeld, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3357b Corridor Marketplace, Laurel, MD 20724 Phone: 301-497-1820
Mr. Abraham J Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9328 Ridings Way, Laurel, MD 20723 Phone: 301-257-4046
Ms. Naima K Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7300 Van Dusen Rd, Laurel Regional Hospital, Laurel, MD 20707 Phone: 301-497-7940 Fax: 301-497-8743
Ms. Connie Frances Dent, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3357b Corridor Marketplace, Laurel, MD 20724 Phone: 301-497-1820
Tanya Regine Pallia, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 575 Main St, Suite351, Laurel, MD 20707 Phone: 301-498-5990
Wendy S Carr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3357b Corridor Marketplace, Laurel, MD 20724 Phone: 301-497-1820

Tigist Woldegebrial Haileselassie, PA - Medicare Physician Assistant in Laurel, MD