Mrs Chandima Jinani Herath Mudiyanselage, MD in Powell, TN

Mrs Chandima Jinani Herath Mudiyanselage, MD is a medicare enrolled "Internal Medicine" physician in Powell, Tennessee. Her current practice location is 7565 Dannaher Dr, Powell, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 859-8000.

Mrs Chandima Jinani Herath Mudiyanselage is licensed to practice in Tennessee (license number 70459) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992327969.

Contact Information

	Mrs Chandima Jinani Herath Mudiyanselage, MD
	7565 Dannaher Dr, Powell, TN 37849-4029
	(865) 859-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Chandima Jinani Herath Mudiyanselage
Gender	Female
Speciality	Internal Medicine
Location	7565 Dannaher Dr, Powell, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992327969
Provider Enumeration Date: 05/13/2020
Last Update Date: 11/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9638592157
Enrollment ID: I20241212001563

Medical Identifiers

Medical identifiers for Mrs Chandima Jinani Herath Mudiyanselage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992327969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	70459 (Tennessee)	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. Mrs Chandima Jinani Herath Mudiyanselage allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

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. Mrs Chandima Jinani Herath Mudiyanselage 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
Mrs Chandima Jinani Herath Mudiyanselage, MD 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 Ph: (313) 745-5147	Mrs Chandima Jinani Herath Mudiyanselage, MD 7565 Dannaher Dr, Powell, TN 37849-4029 Ph: (865) 859-8000

Reviews and Comments

Internal Medicine Doctors in Powell, TN

Yasir Naeem Akhtar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7557b Dannaher Dr Ste 225, Powell, TN 37849 Phone: 865-647-5800 Fax: 865-647-5979
Angela Michelle Kelsey, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9201 Andersonville Pike, Powell, TN 37849 Phone: 865-274-1799
Dr. Purushothaman Muthusamy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7557b Dannaher Dr Ste 225, Powell, TN 37849 Phone: 865-647-5800 Fax: 865-647-5979
Dr. Kyle Mccoy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7557b Dannaher Dr Ste 225, Powell, TN 37849 Phone: 865-647-5800 Fax: 865-647-5979
Dr. Chimezie Uchenna Mbachi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7557b Dannaher Dr Ste 225, Powell, TN 37849 Phone: 865-859-7330 Fax: 865-859-7339
Dr. Miteshkumar Bhupendrasinh Solanki, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7557b Dannaher Dr Ste 225, Powell, TN 37849 Phone: 865-647-5800 Fax: 865-647-5979
Rashmi Ujaneppa Hottigoudar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7557b Dannaher Dr Ste 225, Powell, TN 37849 Phone: 865-647-5800 Fax: 865-647-5979

Mrs Chandima Jinani Herath Mudiyanselage, MD - Medicare Internal Medicine in Powell, TN