Dr Mabodawilage Ganga Hematillake, MD is a medicare enrolled "Internal Medicine" physician in Parlier, California. His current practice location is
650 S Zediker Ave, Parlier, California. You can reach out to his office (for appointments etc.) via phone at
(559) 646-3561.
Dr Mabodawilage Ganga Hematillake is licensed to practice in California (license number C149813) 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 1407967821.
Physician's Profile
| Full Name | Dr Mabodawilage Ganga Hematillake |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 650 S Zediker Ave, Parlier, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407967821
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 3779723192
- Enrollment ID: I20221213002071
Medical Identifiers
Medical identifiers for Dr Mabodawilage Ganga Hematillake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407967821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 379576-1205 (Utah) | Secondary |
| 207R00000X | Internal Medicine | M8520 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | MD428463 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | C149813 (California) | 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. Dr Mabodawilage Ganga Hematillake allows following entities to bill medicare on his behalf.
| Entity Name | Healthtap Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518330539
PECOS PAC ID: 2062813827
Enrollment ID: O20210722001601 |
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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. Dr Mabodawilage Ganga Hematillake 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 |
|---|
Dr Mabodawilage Ganga Hematillake, MD
650 S Zediker Ave,
Parlier, CA 93648-2666
Ph: (559) 646-3561 | Dr Mabodawilage Ganga Hematillake, MD
650 S Zediker Ave,
Parlier, CA 93648
Ph: (559) 646-3561 |
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