Dilantha B Ellegala, MD is a medicare enrolled "Neurological Surgery" physician in Forest, Virginia. His current practice location is
1019 Vista Park Dr Ste A, Forest, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 200-9009.
Dilantha B Ellegala is licensed to practice in Virginia (license number 0101250836) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710056080.
Physician's Profile
Full Name | Dilantha B Ellegala |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 1019 Vista Park Dr Ste A, Forest, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710056080
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 04/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284654476
- Enrollment ID: I20240516003001
Medical Identifiers
Medical identifiers for Dilantha B Ellegala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710056080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | LL15652 (Oregon) | Secondary |
207T00000X | Neurological Surgery | MD26843 (Oregon) | Secondary |
207T00000X | Neurological Surgery | 0101250836 (Virginia) | 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. Dilantha B Ellegala allows following entities to bill medicare on his behalf.
Entity Name | Advanced Spine And Pain Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356950653 PECOS PAC ID: 0941610075 Enrollment ID: O20201102000020 |
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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. Dilantha B Ellegala 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 |
Dilantha B Ellegala, MD 1019 Vista Park Dr Ste A, Forest, VA 24551-4901 Ph: (434) 200-9009 | Dilantha B Ellegala, MD 1019 Vista Park Dr Ste A, Forest, VA 24551-4901 Ph: (434) 200-9009 |
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