Dr Imara R Dissanayake, MD | |
5501 Old York Rd, Phila, PA 19144 | |
(215) 456-6970 | |
(215) 456-7154 |
Full Name | Dr Imara R Dissanayake |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 33 Years |
Location | 5501 Old York Rd, Phila, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295796969 | NPI | - | NPPES |
001866922 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | MD072898L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Philadelphia Dialysis Center | Philadelphia, PA | Dialysis facility |
Davita Northern Philadelphia | Philadelphia, PA | Dialysis facility |
Davita - Wyncote | Wyncote, PA | Dialysis facility |
Sahara Dialysis, Llc | Cheltenham, PA | Dialysis facility |
Albert Einstein Medical Center | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Einstein Practice Plan Inc | 2769395896 | 603 |
Entity Name | Einstein Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
Mailing Address | Practice Location Address |
---|---|
Dr Imara R Dissanayake, MD 101 East Olney Ave, Ste 400, Philadelphia, PA 19120 Ph: (215) 456-7000 | Dr Imara R Dissanayake, MD 5501 Old York Rd, Phila, PA 19144 Ph: (215) 456-6970 |
Dr. Robert Shore, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 7602 Central Ave, Stapeley Bldg Suite 101, Phila, PA 19111 Phone: 215-969-2900 Fax: 215-969-1856 | |
Christopher James Adkins, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1101 Chestnut St, Phila, PA 19107 Phone: 215-955-8900 Fax: 215-955-5245 | |
Dr. Thomas J Scheuerman, DO Nephrology Medicare: Medicare Enrolled Practice Location: 1411 Wolf St, Phila, PA 19145 Phone: 215-334-8780 Fax: 215-334-1086 | |
Ruchika Patel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Korman Bldg Suite 103, Phila, PA 19141 Phone: 215-456-7380 Fax: 215-456-3898 | |
Dr. Efua Asamoah-odei, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 227 N Broad St Ste 301, Phila, PA 19107 Phone: 215-762-7785 Fax: 215-568-6007 | |
Ivan Rudolph, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 132 S 10th St, 480 Main Building, Phila, PA 19107 Phone: 215-955-8900 Fax: 215-955-5245 | |
Dr. Remigio Victor Boccio, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Gen Med-111, Phila, PA 19104 Phone: 215-823-4133 |