Upali Sanath Walgama, MD - Medicare Internal Medicine in Henderson, TX

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Upali Sanath Walgama, MD is a medicare enrolled "Internal Medicine" physician in Henderson, Texas. He graduated from medical school in 1966 and has 59 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Henderson Family Medicine, Pllc and his current practice location is 105 N High St, Henderson, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 392-8259.

Upali Sanath Walgama is licensed to practice in Texas (license number F0066) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265577175.

Contact Information

Upali Sanath Walgama, MD
105 N High St,
Henderson, TX 75652-3133
(903) 392-8259
Not Available

Map and Direction




Physician's Profile

Full NameUpali Sanath Walgama
GenderMale
SpecialityInternal Medicine
Experience59 Years
Location105 N High St, Henderson, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Upali Sanath Walgama graduated from medical school in 1966
  NPI Data:
  • NPI Number: 1265577175
  • Provider Enumeration Date: 02/20/2007
  • Last Update Date: 10/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436322187
  • Enrollment ID: I20111026000041

Medical Identifiers

Medical identifiers for Upali Sanath Walgama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265577175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine F0066 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
AssistcareHenderson, TXHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henderson Family Medicine, Pllc71130591555

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. Upali Sanath Walgama allows following entities to bill medicare on his behalf.
Entity NameHenderson Family Medicine, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831415793
PECOS PAC ID: 7113059155
Enrollment ID: O20110201000351
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106
Entity NameHenderson Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043710437
PECOS PAC ID: 4789946054
Enrollment ID: O20180326002460

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. Upali Sanath Walgama 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 AddressPractice Location Address
Upali Sanath Walgama, MD
105 N High St,
Henderson, TX 75652-3133

Ph: (903) 392-8259		Upali Sanath Walgama, MD
105 N High St,
Henderson, TX 75652-3133

Ph: (903) 392-8259

Reviews and Comments


Internal Medicine Doctors in Henderson, TX


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.