David Ereso Chayawatna, FNP-C in Valencia, CA

David Ereso Chayawatna, FNP-C is a medicare enrolled "Nurse Practitioner" in Valencia, California. His current practice location is 27550 Newhall Ranch Rd Ste 203, Valencia, California. You can reach out to his office (for appointments etc.) via phone at (661) 251-6300.

David Ereso Chayawatna is licensed to practice in California (license number 95011991) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457913485.

Contact Information

	David Ereso Chayawatna, FNP-C
	27550 Newhall Ranch Rd Ste 203, Valencia, CA 91355-6049
	(661) 251-6300
	Not Available

Map and Direction

Provider's Profile

Full Name	David Ereso Chayawatna
Gender	Male
Speciality	Nurse Practitioner
Location	27550 Newhall Ranch Rd Ste 203, Valencia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457913485
Provider Enumeration Date: 06/29/2019
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4789042904
Enrollment ID: I20230621000874

Medical Identifiers

Medical identifiers for David Ereso Chayawatna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457913485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95011991 (California)	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. David Ereso Chayawatna allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Sc Medical, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992078000 PECOS PAC ID: 6305001439 Enrollment ID: O20120622000394

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. David Ereso Chayawatna 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
David Ereso Chayawatna, FNP-C 24932 Avenida Balita, Valencia, CA 91355-3030 Ph: (661) 904-9081	David Ereso Chayawatna, FNP-C 27550 Newhall Ranch Rd Ste 203, Valencia, CA 91355-6049 Ph: (661) 251-6300

Reviews and Comments

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David Ereso Chayawatna, FNP-C - Medicare Nurse Practitioner in Valencia, CA