Mr Dayana Nanda Laxshman Siriwardhana, MSN,MBA,AGACNP,CNRN | |
480 Hawthorn St, North Dartmouth, MA 02747-3729 | |
(508) 973-9150 | |
(508) 973-1955 |
Full Name | Mr Dayana Nanda Laxshman Siriwardhana |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 480 Hawthorn St, North Dartmouth, Massachusetts |
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 |
---|---|---|---|
1992251078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704273949 (Michigan) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | RN2314835 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southcoast Hospitals Group | Fall river, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southcoast Physicians Group Inc | 0749171957 | 746 |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
Mr Dayana Nanda Laxshman Siriwardhana, MSN,MBA,AGACNP,CNRN 200 Mill Road, Suite 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Mr Dayana Nanda Laxshman Siriwardhana, MSN,MBA,AGACNP,CNRN 480 Hawthorn St, North Dartmouth, MA 02747-3729 Ph: (508) 973-9150 |
Paula Vaughan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 570 Hawthorn St, North Dartmouth, MA 02747 Phone: 508-996-3991 | |
Mrs. Sarah Anne Crowley, DNP, AGPCNP-BC, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300a Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-973-2213 Fax: 508-973-1185 | |
Sarah L Holbrook, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 State Rd, North Dartmouth, MA 02747 Phone: 508-973-2206 Fax: 508-973-9275 | |
Jennifer Lyn Costa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 State Rd, North Dartmouth, MA 02747 Phone: 508-973-2206 Fax: 508-973-9275 | |
Ryan Perry, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 581 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 877-215-0614 | |
Miss Madysen Blayke Camara, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 249 Hixville Rd, North Dartmouth, MA 02747 Phone: 508-971-5016 | |
Arielle Spadea, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Hawthorn St, North Dartmouth, MA 02747 Phone: 508-973-9150 Fax: 508-973-9155 |