Dr Samantha Dayawansa, MD in Fort Wayne, IN - Medicare Neurological Surgery

Dr Samantha Dayawansa, MD is a medicare enrolled "Neurological Surgery" physician in Fort Wayne, Indiana. His current practice location is 11104 Parkview Circle Dr Ste 110, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-6780.

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
	11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673
	(260) 425-6780
	(260) 425-6615

Map and Direction

Physician's Profile

Full Name	Dr Samantha Dayawansa
Gender	Male
Speciality	Neurological Surgery
Location	11104 Parkview Circle Dr Ste 110, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare 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: 06/23/2025

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.

Identifier	Type	State	Issuer
1376980649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	95099 (Georgia)	Secondary
207T00000X	Neurological 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 Name	Archbold Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Dr Samantha Dayawansa, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Dr Samantha Dayawansa, MD 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 Ph: (260) 425-6780

Reviews and Comments

Neurological Surgery Doctors in Fort Wayne, IN

Rudy A. Kachmann, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420
Tyler Atkins, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-425-6780
Dr. Stephanie R Falatko, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-425-6780 Fax: 260-425-6615
Dr. Mohammed A. Rahman, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-969-7137 Fax: 260-435-7672
Larry Van Carson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-425-6780 Fax: 260-425-6615
Kevin Alton Vaught, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-969-7137 Fax: 260-435-7672

Dr Samantha Dayawansa, MD - Medicare Neurological Surgery in Fort Wayne, IN