Dr Amila Vimara Nissanka, MD - Medicare Family Medicine in Laguna Beach, CA

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Dr Amila Vimara Nissanka, MD is a medicare enrolled "Family Medicine" physician in Laguna Beach, California. His current practice location is 303 Broadway St Ste 103, Laguna Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 665-6000.

Dr Amila Vimara Nissanka is licensed to practice in California (license number A174462) 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 1073023594.

Contact Information

Dr Amila Vimara Nissanka, MD
303 Broadway St Ste 103,
Laguna Beach, CA 92651-1816
(949) 665-6000
(949) 670-4967

Map and Direction




Physician's Profile

Full NameDr Amila Vimara Nissanka
GenderMale
SpecialityFamily Medicine
Location303 Broadway St Ste 103, Laguna Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073023594
  • Provider Enumeration Date: 10/10/2017
  • Last Update Date: 05/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547504995
  • Enrollment ID: I20211210001837

Medical Identifiers

Medical identifiers for Dr Amila Vimara Nissanka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073023594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125071582 (Illinois)Secondary
207Q00000XFamily Medicine 036.157093 (Illinois)Secondary
207Q00000XFamily Medicine 74854-20 (Wisconsin)Secondary
207Q00000XFamily Medicine 63792 (Arizona)Secondary
207Q00000XFamily Medicine 45836 (Alabama)Secondary
208600000XSurgery 125071582 (Illinois)Secondary
207Q00000XFamily Medicine A174462 (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. Dr Amila Vimara Nissanka allows following entities to bill medicare on his behalf.
Entity NamePress Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083348882
PECOS PAC ID: 7618343245
Enrollment ID: O20221021001376

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. Dr Amila Vimara Nissanka 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 AddressPractice Location Address
Dr Amila Vimara Nissanka, MD
20 Via Loma,
Laguna Niguel, CA 92677-5148

Ph: (949) 416-6267		Dr Amila Vimara Nissanka, MD
303 Broadway St Ste 103,
Laguna Beach, CA 92651-1816

Ph: (949) 665-6000

Reviews and Comments


Family Medicine Doctors in Laguna Beach, CA

Dr. Korey Stephen Jorgensen, M.D.
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Phone: 949-494-0761    Fax: 949-494-3154
Dr. Thomas C Bent, MD
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Dr. Jorge Rubal, MD, MBA
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Phone: 949-228-0831    
Miranda Leigh Naylor, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 333 Thalia St, Laguna Beach, CA 92651
Phone: 714-577-6031    Fax: 714-572-2562

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.