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Awot Mehari Teklehaimanot

Student in an Organized Health Care Education/Training Program

Student, Health Care

(414) 219-2000 (980) 395-4022

PECOS Enrollment

This provider is enrolled in PECOS as AWOT TEKLEHAIMANOT.

Based on the most recent information from CMS, provider Awot Mehari Teklehaimanot is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1922307289
Provider Type
Individual
Full Name
Teklehaimanot, Awot Mehari
Title
Dr.
Credential
M.D

Gender
Female
Sole Proprietor
No
Enumeration Date
3/24/2011
Last Updated
3/24/2011

Contact Information

Practice Location

945 N 12th St, Milwaukee, WI 53233-1305

(414) 219-2000

Unlisted Fax

Mailing Location

1551 Willow Park Dr, Apt # 213, Charlotte, NC 28205-8916

(980) 395-4022

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Awot Mehari Teklehaimanot

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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