Nishani Dayanthi Samaraweera, PHD | |
7895 Currier Dr, Portage, MI 49002-4314 | |
(269) 321-7090 | |
Not Available |
Full Name | Nishani Dayanthi Samaraweera |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 10 Years |
Location | 7895 Currier Dr, Portage, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841483567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | L2064731 (Michigan) | Secondary |
103TC0700X | Psychologist - Clinical | 6301014717 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sandra Bowker And Associates, Plc | 4789737263 | 3 |
Entity Name | Ascension Medical Group Promed |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
Entity Name | Sandra Bowker And Associates, Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609021369 PECOS PAC ID: 4789737263 Enrollment ID: O20090730000549 |
Mailing Address | Practice Location Address |
---|---|
Nishani Dayanthi Samaraweera, PHD 7895 Currier Dr, Portage, MI 49002-4314 Ph: (269) 321-7090 | Nishani Dayanthi Samaraweera, PHD 7895 Currier Dr, Portage, MI 49002-4314 Ph: (269) 321-7090 |
Patricia Shull-blood, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5148 Lovers Ln, Suite 200, Portage, MI 49002 Phone: 269-343-3010 Fax: 269-343-3017 | |
Mr. Timothy Lewis Radabaugh, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 742 Ludington Ave, Portage, MI 49002 Phone: 269-876-0228 | |
Lee Carlin Sanders, MA LLP LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10056 Woodlawn Dr, Portage, MI 49002 Phone: 269-324-9805 | |
Dr. Kristin Rae Gillen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1514 W Milham Ave, Portage, MI 49024 Phone: 269-342-0606 | |
Dr. Ollie Garfield Barnes Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 576 Romence Rd, Suite 222, Portage, MI 49024 Phone: 269-207-7373 Fax: 269-323-2282 | |
Sheri L Heflin, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1662 E Centre Ave, Portage, MI 49002 Phone: 269-321-8564 Fax: 269-321-8641 | |
Mr. Chad E Muffley, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5220 Lovers Lane, Suite 120, Portage, MI 49002 Phone: 269-344-3080 Fax: 269-344-0543 |