| Hasitha Idangodage, MD | |
|
1201 11th Ave Sw, Minot, ND 58701-4207 | |
| (701) 858-6778 | |
| (701) 858-6811 |
| Full Name | Hasitha Idangodage |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 1201 11th Ave Sw, Minot, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114367356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RL12778 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Taylorville Memorial Hospital | Taylorville, IL | Hospital |
| Pana Community Hospital | Pana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pana Community Hospital Association | 3274437348 | 57 |
| Decatur Memorial Hospital | 6204731144 | 155 |
| Taylorville Memorial Hospital | 8022914704 | 10 |
| Entity Name | Pana Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
| Entity Name | Decatur Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
| Entity Name | Taylorville Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518170729 PECOS PAC ID: 8022914704 Enrollment ID: O20031211001049 |
| Mailing Address | Practice Location Address |
|---|---|
| Hasitha Idangodage, MD 1201 11th Ave Sw, Minot, ND 58701-4207 Ph: (701) 858-6778 | Hasitha Idangodage, MD 1201 11th Ave Sw, Minot, ND 58701-4207 Ph: (701) 858-6778 |
Jolynn Azure, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 21st Ave Se, Minot, ND 58701 Phone: 701-838-3033 | |
Danial Padgett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000 | |
Waqas Kayani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 11th Ave Sw, Minot, ND 58701 Phone: 701-858-6700 Fax: 701-858-6811 | |
Ayushman Gupta, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave Sw, Minot, ND 58701 Phone: 701-858-6700 | |
Junita Jose, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1201 11th Ave Sw, Minot, ND 58701 Phone: 701-858-6700 | |
Drushti Birwatkar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave Sw, Minot, ND 58701 Phone: 701-858-6700 | |
Vanna Rose Kay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 11th Ave Sw, Minot, ND 58701 Phone: 701-858-6700 Fax: 701-858-6811 |