| Dr Manage Nissanka, MD | |
|
127 Rosemary Ln, South Windsor, CT 06074-1563 | |
| (860) 916-2578 | |
| Not Available |
| Full Name | Dr Manage Nissanka |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 56 Years |
| Location | 127 Rosemary Ln, South Windsor, Connecticut |
| 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 |
|---|---|---|---|
| 1477535540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 016539 (Connecticut) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME135031 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Connecticut | 8022915677 | 209 |
| Entity Name | The Griffin Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
| Entity Name | State Of Connecticut |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169 |
| Entity Name | Bhcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306042700 PECOS PAC ID: 5193819308 Enrollment ID: O20070919000431 |
| Entity Name | Prospect Rockville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205283538 PECOS PAC ID: 4880988211 Enrollment ID: O20160913001880 |
| Entity Name | Prospect Manchester Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manage Nissanka, MD 127 Rosemary Ln, South Windsor, CT 06074-1563 Ph: (860) 916-2578 | Dr Manage Nissanka, MD 127 Rosemary Ln, South Windsor, CT 06074-1563 Ph: (860) 916-2578 |
Dr. Peter Benet, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 479 Buckland Rd, South Windsor, CT 06074 Phone: 860-644-1111 | |
Grace Mighty, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 140 Oxford Dr, South Windsor, CT 06074 Phone: 860-328-6208 | |
Lori Calabrese, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1330 Sullivan Ave, South Windsor, CT 06074 Phone: 860-648-9755 Fax: 860-648-9756 |