Suresh Gehan Jayatilaka, MD | |
1129 N Main St Ste G, South Boston, VA 24592-2547 | |
(434) 572-8196 | |
(434) 572-8341 |
Full Name | Suresh Gehan Jayatilaka |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 25 Years |
Location | 1129 N Main St Ste G, South Boston, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265557953 | NPI | - | NPPES |
1265557953 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 0101241180 (Virginia) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 2011-00253 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Halifax Regional Hospital | South boston, VA | Hospital |
Person Memorial Hospital | Roxboro, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Gastroenterology Associates Pc | 0840383451 | 3 |
Dlp Person Physician Practices Llc | 8123292604 | 6 |
Entity Name | Southern Gastroenterology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376659870 PECOS PAC ID: 0840383451 Enrollment ID: O20070912000234 |
Entity Name | Southern Gastroenterology Endoscopy Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265137517 PECOS PAC ID: 8729449632 Enrollment ID: O20230725001613 |
Mailing Address | Practice Location Address |
---|---|
Suresh Gehan Jayatilaka, MD 503 Ridge Rd, Roxboro, NC 27573-4627 Ph: (336) 503-5757 | Suresh Gehan Jayatilaka, MD 1129 N Main St Ste G, South Boston, VA 24592-2547 Ph: (434) 572-8196 |
Dr. Amar A Parikh, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2045 Hamilton Boulevard, South Boston, VA 24592 Phone: 434-572-6565 Fax: 434-572-4322 | |
Dr. Fuad Shatila, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 2232 Willborn Ave, South Boston, VA 24592 Phone: 434-517-3705 | |
Roger W Browne, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-6946 Fax: 434-572-6675 | |
Dr. Chad Michael Henry, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2210 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3827 | |
Richard W Davis, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-517-0611 Fax: 434-572-6675 | |
Dr. Sherry Lene Hall, M.D Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2202-a Beechmont Road, South Boston, VA 24592 Phone: 434-575-6300 Fax: 434-575-8300 |