Dr Nisal K Samarasekera, MD in Glendale, AZ

Dr Nisal K Samarasekera, MD is a medicare enrolled "Family Medicine" physician in Glendale, Arizona. His current practice location is 6320 W Union Hills Dr Ste A210, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 362-8866.

Dr Nisal K Samarasekera is licensed to practice in Arizona (license number 23001) 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 1841258902.

Contact Information

	Dr Nisal K Samarasekera, MD
	6320 W Union Hills Dr Ste A210, Glendale, AZ 85308-7212
	(623) 362-8866
	(623) 362-8867

Map and Direction

Physician's Profile

Full Name	Dr Nisal K Samarasekera
Gender	Male
Speciality	Family Medicine
Location	6320 W Union Hills Dr Ste A210, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841258902
Provider Enumeration Date: 05/01/2006
Last Update Date: 12/10/2009

Medicare PECOS Information:

PECOS PAC ID: 8325106396
Enrollment ID: I20100308000218

Medical Identifiers

Medical identifiers for Dr Nisal K Samarasekera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841258902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	23001 (Arizona)	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 Nisal K Samarasekera allows following entities to bill medicare on his behalf.

Entity Name	Hospice Of The Valley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588682405 PECOS PAC ID: 4183617053 Enrollment ID: O20100820000198

Entity Name	Arizona Supportive Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710279385 PECOS PAC ID: 6002083508 Enrollment ID: O20120125000065

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 Nisal K Samarasekera 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
Dr Nisal K Samarasekera, MD 6320 W Union Hills Dr Ste A210, Glendale, AZ 85308-7212 Ph: (623) 362-8866	Dr Nisal K Samarasekera, MD 6320 W Union Hills Dr Ste A210, Glendale, AZ 85308-7212 Ph: (623) 362-8866

Reviews and Comments

Family Medicine Doctors in Glendale, AZ

Jeremy Nebeker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18275 N 59th Avenue, Bldg K 162, Glendale, AZ 85308 Phone: 602-547-8184 Fax: 602-547-8339
Ashwin Parekh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W. Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 Phone: 602-865-2627 Fax: 602-865-2632
John Mark Heyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10150 N 67th Ave, Suite 101, Glendale, AZ 85302 Phone: 623-561-4547 Fax: 632-412-4995
Ron Rosenwald, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6120 W Bell Rd Ste 110, Glendale, AZ 85308 Phone: 602-978-9053 Fax: 602-443-4570
Mr. Arthur N Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5757 W Thunderbird Road, Suite E-155, Glendale, AZ 85306 Phone: 623-247-1081 Fax: 623-247-2962
Danielle L. Barnett-trapp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19389 N 59th Ave, Glendale, AZ 85308 Phone: 236-537-6000 Fax: 623-537-6101
Jenna Sangkam, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19389 N 59th Ave, Glendale, AZ 85308 Phone: 623-537-6000

Dr Nisal K Samarasekera, MD - Medicare Family Medicine in Glendale, AZ