Dr Manage Nissanka, MD | |
127 Rosemary Ln, South Windsor, CT 06074-1563 | |
(860) 916-2578 | |
Not Available |
Full Name | Dr Manage Nissanka |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 127 Rosemary Ln, South Windsor, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477535540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 016539 (Connecticut) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | ME135031 (Florida) | Primary |
Entity Name | The Griffin Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169 |
Entity Name | Bhcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306042700 PECOS PAC ID: 5193819308 Enrollment ID: O20070919000431 |
Entity Name | Prospect Manchester Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
Mailing Address | Practice Location Address |
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Dr Manage Nissanka, MD 127 Rosemary Ln, South Windsor, CT 06074-1563 Ph: (860) 916-2578 | Dr Manage Nissanka, MD 127 Rosemary Ln, South Windsor, CT 06074-1563 Ph: (860) 916-2578 |
Dr. Peter Benet, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 479 Buckland Rd, South Windsor, CT 06074 Phone: 860-644-1111 | |
Grace Mighty, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 140 Oxford Dr, South Windsor, CT 06074 Phone: 860-328-6208 | |
Lori Calabrese, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1330 Sullivan Ave, South Windsor, CT 06074 Phone: 860-648-9755 Fax: 860-648-9756 |