| Mevan Nandaka Wijetunga, MD | |
|
1300 S Columbia Rd, Grand Forks, ND 58201 | |
| (701) 780-6236 | |
| (701) 780-6221 |
| Full Name | Mevan Nandaka Wijetunga |
|---|---|
| Gender | Male |
| Speciality | Cardiac Electrophysiology |
| Experience | 29 Years |
| Location | 1300 S Columbia Rd, Grand Forks, 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 |
|---|---|---|---|
| 1457308645 | NPI | - | NPPES |
| 15880581 | Medicaid | VA | |
| 034425200 | Medicaid | DC | |
| 967611200 | Medicaid | MN | |
| 400766200 | Medicaid | MD |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Lifecare Medical Center | Roseau, MN | Hospital |
| Unity Medical Center | Grafton, ND | Hospital |
| Northwood Deaconess Health Center | Northwood, ND | Hospital |
| Pembina County Memorial Hospital | Cavalier, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altru Health System | 1355251604 | 554 |
| Altru Health System | 1355251604 | 554 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760494330 PECOS PAC ID: 1355251604 Enrollment ID: O20031110000135 |
| Entity Name | Carris Health Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Mevan Nandaka Wijetunga, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Mevan Nandaka Wijetunga, MD 1300 S Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-6236 |
Iqbal Masood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 | |
Dr. Marcin Szember, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 S. Washington St. - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000 | |
Antranik Mangardich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 | |
Leslie M Klevay, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Und Box 9037 Ppt, Grand Forks, ND 58201 Phone: 701-777-0000 | |
James Rese Wood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 Fax: 612-870-5857 | |
Robert A Thompson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Daniel J Walsh, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 |