Prabath Madusanka Herath Mudiyanselage, DO - Medicare Internal Medicine in Glendale, AZ

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Prabath Madusanka Herath Mudiyanselage, DO is a medicare enrolled "Hospitalist" physician in Glendale, Arizona. He went to Touro Un Col Of Osteopathic Medicine, New York and graduated in 2018 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Banner Hospital Based Physicians Arizona Llc and his current practice location is 5555 W Thunderbird Rd, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 865-2631.

Prabath Madusanka Herath Mudiyanselage is licensed to practice in Arizona (license number 009089) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619463130.

Contact Information

Prabath Madusanka Herath Mudiyanselage, DO
5555 W Thunderbird Rd,
Glendale, AZ 85306-4622
(602) 865-2631
Not Available

Map and Direction




Physician's Profile

Full NamePrabath Madusanka Herath Mudiyanselage
GenderMale
SpecialityInternal Medicine
Experience6 Years
Location5555 W Thunderbird Rd, Glendale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prabath Madusanka Herath Mudiyanselage attended and graduated from Touro Un Col Of Osteopathic Medicine, New York in 2018
  NPI Data:
  • NPI Number: 1619463130
  • Provider Enumeration Date: 07/09/2018
  • Last Update Date: 08/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668876095
  • Enrollment ID: I20210809000002

Medical Identifiers

Medical identifiers for Prabath Madusanka Herath Mudiyanselage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619463130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 58.030211 (Ohio)Secondary
208M00000XHospitalist 009089 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Thunderbird Medical CenterGlendale, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Hospital Based Physicians Arizona Llc3274782487405

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. Prabath Madusanka Herath Mudiyanselage allows following entities to bill medicare on his behalf.
Entity NameAmerican Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609869908
PECOS PAC ID: 3577467463
Enrollment ID: O20031121000688
Entity NameCogent Healthcare Of Arizona Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568758266
PECOS PAC ID: 0648441006
Enrollment ID: O20110915000843
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752
Entity NameHospitalist Medicine Physicians Of Arizona - Goodyear, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790264802
PECOS PAC ID: 1951653187
Enrollment ID: O20181016002244

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. Prabath Madusanka 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 AddressPractice Location Address
Prabath Madusanka Herath Mudiyanselage, DO
5555 W Thunderbird Rd,
Glendale, AZ 85306-4622

Ph: (602) 865-2631		Prabath Madusanka Herath Mudiyanselage, DO
5555 W Thunderbird Rd,
Glendale, AZ 85306-4622

Ph: (602) 865-2631

Reviews and Comments


Hospitalist Doctors in Glendale, AZ

Ipuole Paulinus Ogar, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306
Phone: 602-865-2627    Fax: 602-865-2632
Shiva Shojaie, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306
Phone: 602-865-5555    
Dr. Veenu Gill, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 5620 W Thunderbird Rd, Glendale, AZ 85306
Phone: 602-795-7256    Fax: 602-795-7257
Michael Best, M.D., MPH
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306
Phone: 602-865-5555    
Hasan Chaudhry, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 20118 N 67th Ave Ste 300-415, Glendale, AZ 85308
Phone: 602-736-8386    
Dr. Firoozeh Isfahani, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 5555 W. Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306
Phone: 602-865-2627    Fax: 602-865-2631
Benjamin Masserano,
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 19007 N 67th Ave, Glendale, AZ 85308
Phone: 602-933-0777    Fax: 602-933-0755

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.