Zeyerusalem Woldesilasse, - Medicare Nurse Practitioner in Sacramento, CA

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Zeyerusalem Woldesilasse, is a medicare enrolled "Nurse Practitioner - Primary Care" in Sacramento, California. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northbay Healthcare Group, Elk Grove Urgent Care Inc and her current practice location is 10385 Old Placerville Rd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 448-1770.

Zeyerusalem Woldesilasse is licensed to practice in California (license number NP95016910) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174292767.

Contact Information

Zeyerusalem Woldesilasse,
10385 Old Placerville Rd,
Sacramento, CA 95827-2506
(916) 448-1770
(916) 448-3015

Map and Direction




Provider's Profile

Full NameZeyerusalem Woldesilasse
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location10385 Old Placerville Rd, Sacramento, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Zeyerusalem Woldesilasse graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1174292767
  • Provider Enumeration Date: 09/08/2021
  • Last Update Date: 09/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779975073
  • Enrollment ID: I20220119000297

Medical Identifiers

Medical identifiers for Zeyerusalem Woldesilasse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174292767NPI-NPPES
NP95016910MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care NP95016910 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northbay Healthcare Group0042122244293
Elk Grove Urgent Care Inc064834097619

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. Zeyerusalem Woldesilasse allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409
Entity NameChandan Ds Cheema Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598965667
PECOS PAC ID: 2264533637
Enrollment ID: O20070730000331
Entity NameElk Grove Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285812024
PECOS PAC ID: 0648340976
Enrollment ID: O20080529000487
Entity NameAll Inclusive Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518369891
PECOS PAC ID: 3274855879
Enrollment ID: O20141210001887

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. Zeyerusalem Woldesilasse 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
Zeyerusalem Woldesilasse,
5201 Nectar Cir,
Elk Grove, CA 95757-4333

Ph: (602) 570-4281		Zeyerusalem Woldesilasse,
10385 Old Placerville Rd,
Sacramento, CA 95827-2506

Ph: (916) 448-1770

Reviews and Comments


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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.