Tadesse Kebede Debele, MD, MS in Kingman, AZ - Student in an Organized Health Care Education/Training Program

Tadesse Kebede Debele, MD, MS is a Student In An Organized Health Care Education/training Program physician based in Kingman, Arizona. Tadesse Kebede Debele is licensed to practice in Arizona (license number R78887) and his current practice location is 2202 N Stockton Hill Rd Ste 101, Kingman, Arizona. He can be reached at his office (for appointments etc.) via phone at (702) 877-5199.

NPI number for Tadesse Kebede Debele is 1164999660 and his current mailing address is 2202 N Stockton Hill Rd Ste 101, Kingman, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164999660.

Contact Information

	Tadesse Kebede Debele, MD, MS
	2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401-4622
	(702) 877-5199
	(702) 431-0265

Physician's Profile

Full Name	Tadesse Kebede Debele
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	2202 N Stockton Hill Rd Ste 101, Kingman, Arizona
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1164999660
Provider Enumeration Date: 11/01/2018
Last Update Date: 04/12/2022

Medical Identifiers

Medical identifiers for Tadesse Kebede Debele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164999660	NPI	-	NPPES
1164999660	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R7887 (Arizona)	Secondary
363A00000X	Physician Assistant	PA2058 (Nevada)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	R78887 (Arizona)	Primary

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. Tadesse Kebede Debele is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tadesse Kebede Debele, MD, MS 2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401-4622 Ph: (928) 681-8701	Tadesse Kebede Debele, MD, MS 2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401-4622 Ph: (702) 877-5199

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Tadesse Kebede Debele, MD, MS - Student in an Organized Health Care Education/Training Program in Kingman, AZ