Dr Samantha Dayawansa, MD - Medicare Neurological Surgery in Nacogdoches, TX

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Dr Samantha Dayawansa, MD is a medicare enrolled "Neurological Surgery" physician in Nacogdoches, Texas. His current practice location is 5500 North St, Nacogdoches, Texas. You can reach out to his office (for appointments etc.) via phone at (716) 998-4062.

Dr Samantha Dayawansa is licensed to practice in Indiana (license number 01096248A) 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 1376980649.

Contact Information

Dr Samantha Dayawansa, MD
5500 North St,
Nacogdoches, TX 75965-1372
(716) 998-4062
Not Available

Map and Direction




Physician's Profile

Full NameDr Samantha Dayawansa
GenderMale
SpecialityNeurological Surgery
Location5500 North St, Nacogdoches, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376980649
  • Provider Enumeration Date: 05/28/2013
  • Last Update Date: 08/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5890078950
  • Enrollment ID: I20230426000910

Medical Identifiers

Medical identifiers for Dr Samantha Dayawansa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376980649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 95099 (Georgia)Secondary
207T00000XNeurological Surgery V8608 (Texas)Secondary
207T00000XNeurological Surgery 01096248A (Indiana)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 Samantha Dayawansa allows following entities to bill medicare on his behalf.
Entity NameArchbold Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831353036
PECOS PAC ID: 8123196383
Enrollment ID: O20081001000632

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 Samantha Dayawansa 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 Samantha Dayawansa, MD
5500 North St,
Nacogdoches, TX 75965-1372

Ph: (716) 998-4062		Dr Samantha Dayawansa, MD
5500 North St,
Nacogdoches, TX 75965-1372

Ph: (716) 998-4062

Reviews and Comments


Neurological Surgery Doctors in Nacogdoches, TX

Neal Gregory Haynes, M.D.
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 625 Russell Blvd, Nacogdoches, TX 75965
Phone: 936-560-1190    Fax: 936-560-1823
Dr. James Michael Randle, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5500 North St, Nacogdoches, TX 75965
Phone: 936-560-6999    Fax: 936-560-0184

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.