Dilantha B Ellegala, MD in Phoenix, AZ - Medicare Neurological Surgery

Dilantha B Ellegala, MD is a medicare enrolled "Neurological Surgery" physician in Phoenix, Arizona. His current practice location is 4200 E Camelback Rd Ste 202, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 462-0469.

Dilantha B Ellegala is licensed to practice in Arizona (license number 54678) 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 1710056080.

Contact Information

	Dilantha B Ellegala, MD
	4200 E Camelback Rd Ste 202, Phoenix, AZ 85018-2718
	(602) 462-0469
	(602) 635-3846

Map and Direction

Physician's Profile

Full Name	Dilantha B Ellegala
Gender	Male
Speciality	Neurological Surgery
Location	4200 E Camelback Rd Ste 202, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710056080
Provider Enumeration Date: 11/08/2006
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 4284654476
Enrollment ID: I20240516003001

Medical Identifiers

Medical identifiers for Dilantha B Ellegala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710056080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	0101250836 (Virginia)	Secondary
207T00000X	Neurological Surgery	54678 (Arizona)	Primary
207T00000X	Neurological Surgery	MD26843 (Oregon)	Secondary
207T00000X	Neurological Surgery	LL15652 (Oregon)	Secondary

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. Dilantha B Ellegala allows following entities to bill medicare on his behalf.

Entity Name	Banner - University Physician Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476

Entity Name	Advanced Spine And Pain Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356950653 PECOS PAC ID: 0941610075 Enrollment ID: O20201102000020

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. Dilantha B Ellegala 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
Dilantha B Ellegala, MD 5310 W Thunderbird Rd Ste 308, Glendale, AZ 85306-4710 Ph: () -	Dilantha B Ellegala, MD 4200 E Camelback Rd Ste 202, Phoenix, AZ 85018-2718 Ph: (602) 462-0469

Reviews and Comments

Neurological Surgery Doctors in Phoenix, AZ

Curtis A Dickman, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2910 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-406-3632 Fax: 602-406-4187
Dr. Naresh P Patel, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000
Dr. Mark Edward Oppenlander, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 19636 N 27th Ave Ste 203, Phoenix, AZ 85027 Phone: 235-625-0506 Fax: 623-562-5051
Dr. Erik I Curtis, M.D., M.S. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2222 E Highland Ave Ste 222, Phoenix, AZ 85016 Phone: 602-603-0971
Dr. Michael T Lawton, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2910 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-406-3489 Fax: 602-406-4402
Dr. Jonathan Seth Hott, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 9225 N 3rd St, Suite 100, Phoenix, AZ 85020 Phone: 602-943-4509 Fax: 602-943-0348
Dr. Bryan S Lee, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 19636 N 27th Ave Ste 203, Phoenix, AZ 85027 Phone: 623-562-5050 Fax: 623-562-5051

Dilantha B Ellegala, MD - Medicare Neurological Surgery in Phoenix, AZ