Thakshila Pathagamage, DDS in Minneapolis, MN

Thakshila Pathagamage, DDS is a medicare enrolled "Dentist" provider in Minneapolis, Minnesota. Her current practice location is 4243 4th Ave S, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 822-9030.

Thakshila Pathagamage is licensed to practice in Minnesota (license number D10740) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659599900.

Contact Information

	Thakshila Pathagamage, DDS
	4243 4th Ave S, Minneapolis, MN 55409-2113
	(612) 822-9030
	(612) 821-2818

Map and Direction

Healthcare Provider's Profile

Full Name	Thakshila Pathagamage
Gender	Female
Speciality	Dentist
Location	4243 4th Ave S, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659599900
Provider Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729303193
Enrollment ID: I20150205001020

Medical Identifiers

Medical identifiers for Thakshila Pathagamage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659599900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D10740 (Minnesota)	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. Thakshila Pathagamage allows following entities to bill medicare on her behalf.

Entity Name	Southside Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538137757 PECOS PAC ID: 8921027228 Enrollment ID: O20051116000311

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. Thakshila Pathagamage 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
Thakshila Pathagamage, DDS 4243 4th Ave S, Minneapolis, MN 55409-2113 Ph: (612) 822-9030	Thakshila Pathagamage, DDS 4243 4th Ave S, Minneapolis, MN 55409-2113 Ph: (612) 822-9030

Reviews and Comments

Dentist in Minneapolis, MN

Dr. Brian J Chase, DMD Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 617-895-7348
Dr. Jennifer Lynn Bonamici, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-5000
Joanna Christine Bourain, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1313 Penn Ave N, Minneapolis, MN 55411 Phone: 805-729-0090
George Noesen, Dentist Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000
Dr. Michael W. Lehnert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, 7th Floor, Mmhst, Minneapolis, MN 55455 Phone: 612-624-7133 Fax: 612-624-2669
Luke Mcmahon, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 606 24th Ave S, Minneapolis, MN 55454 Phone: 612-659-8689
Dr. Brett Andrew Voegele, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, 7th Floor, Moos Tower, Minneapolis, MN 55455 Phone: 612-624-8600

Thakshila Pathagamage, DDS - Medicare Dentist in Minneapolis, MN