| Himali Sheshtra Wijesooriya, MD | |
|
640 Court Street, West Branch, MI 48661-0001 | |
| (989) 345-8120 | |
| (989) 345-8129 |
| Full Name | Himali Sheshtra Wijesooriya |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 640 Court Street, West Branch, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720219926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA10206300 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 4301102341 (Michigan) | Primary |
| Entity Name | Community Health Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700816816 PECOS PAC ID: 9335040419 Enrollment ID: O20040402000981 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Himali Sheshtra Wijesooriya, MD 640 Court Street, West Branch, MI 48661-0001 Ph: (989) 345-8120 | Himali Sheshtra Wijesooriya, MD 640 Court Street, West Branch, MI 48661-0001 Ph: (989) 345-8120 |
Dr. Michael E Burkley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Court St, West Branch, MI 48661 Phone: 989-345-8120 Fax: 989-345-8129 | |
Dr. Theodore A Bash, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2331 Progress St, West Branch, MI 48661 Phone: 989-345-1184 Fax: 989-345-6944 | |
Dr. Kurt A Barrett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 335 E Houghton Ave, West Branch, MI 48661 Phone: 989-345-3171 Fax: 989-345-9159 | |
Dr. James D Bash, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2331 Progress St, West Branch, MI 48661 Phone: 989-345-1184 Fax: 989-345-6944 | |
John Wilkins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Court St, West Branch, MI 48661 Phone: 989-345-7000 Fax: 989-345-7479 | |
Dr. Mandhir Jamwal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2331 Progress St, Suite D, West Branch, MI 48661 Phone: 989-345-0945 Fax: 989-345-2831 |