Wogene Amsalu, in Overland, MO - Medicare Nurse Practitioner

Wogene Amsalu, is a medicare enrolled "Nurse Practitioner - Primary Care" in Overland, Missouri. Her current practice location is 9628 Midland Blvd, Overland, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 779-6022.

Wogene Amsalu is licensed to practice in Missouri (license number 2018001284) 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 1184091431.

Contact Information

	Wogene Amsalu,
	9628 Midland Blvd, Overland, MO 63114-3357
	(314) 779-6022
	Not Available

Map and Direction

Provider's Profile

Full Name	Wogene Amsalu
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	9628 Midland Blvd, Overland, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184091431
Provider Enumeration Date: 08/21/2015
Last Update Date: 05/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7113331794
Enrollment ID: I20210121001849

Medical Identifiers

Medical identifiers for Wogene Amsalu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184091431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2002031108 (Missouri)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	2018001284 (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. Wogene Amsalu allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760422265 PECOS PAC ID: 9830008770 Enrollment ID: O20040812001332

Entity Name	Liaison Health Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033874888 PECOS PAC ID: 6901298298 Enrollment ID: O20220118002422

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. Wogene Amsalu 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
Wogene Amsalu, 1131 Indian Trails Dr, Saint Louis, MO 63132-3109 Ph: () -	Wogene Amsalu, 9628 Midland Blvd, Overland, MO 63114-3357 Ph: (314) 779-6022

Reviews and Comments

Nurse Practitioner Nurses in Overland, MO

Ms. Rachel Nicole Ramos, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9150 Overland Plz, Overland, MO 63114 Phone: 314-449-9633 Fax: 314-949-3428
Illona Lynn Lewis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9150 Overland Plz, Overland, MO 63114 Phone: 314-449-9633 Fax: 314-449-9634
Kristen E Evans, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9150 Overland Plz, Overland, MO 63114 Phone: 314-449-9633

Wogene Amsalu, - Medicare Nurse Practitioner in Overland, MO