Mr Dave Amarasena, NP in Staten Island, NY - Medicare Nurse Practitioner

Mr Dave Amarasena, NP is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. His current practice location is 745 Tysens Ln, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 667-3234.

Mr Dave Amarasena is licensed to practice in New York (license number F345844-01) 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 1831713163.

Contact Information

	Mr Dave Amarasena, NP
	745 Tysens Ln, Staten Island, NY 10306-5621
	(718) 667-3234
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dave Amarasena
Gender	Male
Speciality	Nurse Practitioner - Family
Location	745 Tysens Ln, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831713163
Provider Enumeration Date: 06/02/2020
Last Update Date: 06/02/2020

Medicare PECOS Information:

PECOS PAC ID: 4789049180
Enrollment ID: I20230508000098

Medical Identifiers

Medical identifiers for Mr Dave Amarasena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831713163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F345844-01 (New York)	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. Mr Dave Amarasena allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Mr Dave Amarasena 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
Mr Dave Amarasena, NP 745 Tysens Ln, Staten Island, NY 10306-5621 Ph: (718) 667-3234	Mr Dave Amarasena, NP 745 Tysens Ln, Staten Island, NY 10306-5621 Ph: (718) 667-3234

Reviews and Comments

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Mr Dave Amarasena, NP - Medicare Nurse Practitioner in Staten Island, NY