Kumari S Wickramasinghe, MD | |
1350 W Covina Blvd, San Dimas, CA 91773-3245 | |
(909) 599-6811 | |
Not Available |
Full Name | Kumari S Wickramasinghe |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 34 Years |
Location | 1350 W Covina Blvd, San Dimas, California |
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 |
---|---|---|---|
1043204712 | NPI | - | NPPES |
00A611110 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A61111 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Glendale Mem Hospital & Hlth Center | Glendale, CA | Hospital |
Emanate Health Inter-community Hospital | Covina, CA | Hospital |
San Dimas Community Hospital | San dimas, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Citrus Pathology Medical Group | 2668375577 | 4 |
Gastro Care Institute | 7214273481 | 10 |
Entity Name | Citrus Pathology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265426928 PECOS PAC ID: 2668375577 Enrollment ID: O20040128001204 |
Entity Name | Gastro Care Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326514746 PECOS PAC ID: 7214273481 Enrollment ID: O20190108003937 |
Mailing Address | Practice Location Address |
---|---|
Kumari S Wickramasinghe, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Kumari S Wickramasinghe, MD 1350 W Covina Blvd, San Dimas, CA 91773-3245 Ph: (909) 599-6811 |
Robert E Riechmann, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811 | |
Roy H Moffatt, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811 | |
Glenn S Hausdorfer, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811 |