Dr Herath M Wijerathna, MD - Medicare Internal Medicine in Sutton, MA

  1. Home
  2. Internal Medicine
  3. MA
  4. Sutton
Dr Herath M Wijerathna, MD is a medicare enrolled "Internal Medicine" physician in Sutton, Massachusetts. She graduated from medical school in 1998 and has 28 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Umass Memorial Medical Group Inc and her current practice location is 188 Worcester Providence Tpke, Sutton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 865-3650.

Dr Herath M Wijerathna is licensed to practice in Massachusetts (license number 265447) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912232307.

Contact Information

Dr Herath M Wijerathna, MD
188 Worcester Providence Tpke,
Sutton, MA 01590-1908
(508) 865-3650
(508) 865-3822

Map and Direction




Physician's Profile

Full NameDr Herath M Wijerathna
GenderFemale
SpecialityInternal Medicine
Experience28 Years
Location188 Worcester Providence Tpke, Sutton, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Herath M Wijerathna graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1912232307
  • Provider Enumeration Date: 10/02/2009
  • Last Update Date: 08/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032366620
  • Enrollment ID: I20160725002628

Medical Identifiers

Medical identifiers for Dr Herath M Wijerathna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912232307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 265447 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vna Care NetworkWorcester, MAHome health agency
Umass Memorial Medical Center/university CampusWorcester, MAHospital
Harrington Memorial Hospital-1Southbridge, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398912096

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 Herath M Wijerathna allows following entities to bill medicare on her behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267

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 Herath M Wijerathna 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 Herath M Wijerathna, MD
Po Box 415348,
Boston, MA 02241-5348

Ph: (800) 225-8885		Dr Herath M Wijerathna, MD
188 Worcester Providence Tpke,
Sutton, MA 01590-1908

Ph: (508) 865-3650

Reviews and Comments


Internal Medicine Doctors in Sutton, MA

Dr. Rebecca Kasenge, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 188 Worcester Providence Tpke, Sutton, MA 01590
Phone: 508-865-3650    
Dr. James A Gilbert Jr., M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 188 Worcester Providence Tpke, Sutton, MA 01590
Phone: 508-865-3650    
Dr. Mary Gulla, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 188 Worcester Providence Turnpike, Sutton, MA 01590
Phone: 508-865-3650    

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.