Dr Nicole Gunasekera, MD, MBA is a medicare enrolled "Dermatology" physician in Shiprock, New Mexico. She went to Harvard Medical School and graduated in 2017 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Brigham And Womens Physicians Organization Inc and her current practice location is
Us Hwy 491 N, Shiprock, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 368-6001.
Dr Nicole Gunasekera is licensed to practice in Massachusetts (license number 286727) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457889909.
Physician's Profile
Full Name | Dr Nicole Gunasekera |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 8 Years |
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Location | Us Hwy 491 N, Shiprock, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Nicole Gunasekera attended and graduated from Harvard Medical School in 2017
NPI Data:
- NPI Number: 1457889909
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 05/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638441702
- Enrollment ID: I20210602001432
Medical Identifiers
Medical identifiers for Dr Nicole Gunasekera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457889909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 286727 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Brigham And Womens Physicians Organization Inc | 3870405988 | 2511 |
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 Nicole Gunasekera allows following entities to bill medicare on her behalf.
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
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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 Nicole Gunasekera 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 Nicole Gunasekera, MD, MBA Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Dr Nicole Gunasekera, MD, MBA Us Hwy 491 N, Shiprock, NM 87420-9998 Ph: (505) 368-6001 |
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