Nishani Dayanthi Samaraweera, PHD in Portage, MI - Medicare Clinical Psychologist Provider

Nishani Dayanthi Samaraweera, PHD is a medicare enrolled "Psychologist - Clinical" provider in Portage, Michigan. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Sandra Bowker And Associates, Plc, Ascension Medical Group Promed and her current practice location is 7895 Currier Dr, Portage, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 321-7090.

Nishani Dayanthi Samaraweera is licensed to practice in Michigan (license number 6301014717) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841483567.

Contact Information

	Nishani Dayanthi Samaraweera, PHD
	7895 Currier Dr, Portage, MI 49002-4314
	(269) 321-7090
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nishani Dayanthi Samaraweera
Gender	Female
Speciality	Clinical Psychologist
Experience	10 Years
Location	7895 Currier Dr, Portage, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nishani Dayanthi Samaraweera graduated from medical school in 2014

NPI Data:

NPI Number: 1841483567
Provider Enumeration Date: 08/27/2007
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 4789845892
Enrollment ID: I20140804000862

Medical Identifiers

Medical identifiers for Nishani Dayanthi Samaraweera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841483567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	L2064731 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301014717 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Borgess Medical Center	Kalamazoo, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sandra Bowker And Associates, Plc	4789737263	3
Ascension Medical Group Promed	7315856077	233

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. Nishani Dayanthi Samaraweera allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group Promed
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478

Entity Name	Sandra Bowker And Associates, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609021369 PECOS PAC ID: 4789737263 Enrollment ID: O20090730000549

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. Nishani Dayanthi Samaraweera 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 Address	Practice Location Address
Nishani Dayanthi Samaraweera, PHD 7895 Currier Dr, Portage, MI 49002-4314 Ph: (269) 321-7090	Nishani Dayanthi Samaraweera, PHD 7895 Currier Dr, Portage, MI 49002-4314 Ph: (269) 321-7090

Reviews and Comments

Psychologist in Portage, MI

Patricia Shull-blood, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5148 Lovers Ln, Suite 200, Portage, MI 49002 Phone: 269-343-3010 Fax: 269-343-3017
Mr. Timothy Lewis Radabaugh, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 742 Ludington Ave, Portage, MI 49002 Phone: 269-876-0228
Lee Carlin Sanders, MA LLP LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10056 Woodlawn Dr, Portage, MI 49002 Phone: 269-324-9805
Dr. Kristin Rae Gillen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1514 W Milham Ave, Portage, MI 49024 Phone: 269-342-0606
Dr. Ollie Garfield Barnes Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 576 Romence Rd, Suite 222, Portage, MI 49024 Phone: 269-207-7373 Fax: 269-323-2282
Sheri L Heflin, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1662 E Centre Ave, Portage, MI 49002 Phone: 269-321-8564 Fax: 269-321-8641
Mr. Chad E Muffley, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5220 Lovers Lane, Suite 120, Portage, MI 49002 Phone: 269-344-3080 Fax: 269-344-0543

Nishani Dayanthi Samaraweera, PHD - Medicare Psychologist in Portage, MI