Kushanthi Surini Samaratunge, PSYD in Tigard, OR - Medicare Psychologist Provider

Kushanthi Surini Samaratunge, PSYD is a medicare enrolled "Psychologist" provider in Tigard, Oregon. Her current practice location is 7455 Sw Beveland Rd, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 624-2600.

Kushanthi Surini Samaratunge is licensed to practice in Oregon (license number 2628) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265605133.

Contact Information

	Kushanthi Surini Samaratunge, PSYD
	7455 Sw Beveland Rd, Tigard, OR 97223-8610
	(503) 624-2600
	(503) 624-7752

Map and Direction

Healthcare Provider's Profile

Full Name	Kushanthi Surini Samaratunge
Gender	Female
Speciality	Psychologist
Location	7455 Sw Beveland Rd, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265605133
Provider Enumeration Date: 04/10/2008
Last Update Date: 07/22/2015

Medicare PECOS Information:

PECOS PAC ID: 6901113968
Enrollment ID: I20150923002723

Medical Identifiers

Medical identifiers for Kushanthi Surini Samaratunge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265605133	NPI	-	NPPES
210855	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2628 (Oregon)	Primary

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. Kushanthi Surini Samaratunge allows following entities to bill medicare on her behalf.

Entity Name	Western Psychological And Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049

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. Kushanthi Surini Samaratunge 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
Kushanthi Surini Samaratunge, PSYD 7455 Sw Beveland Rd, Tigard, OR 97223-8610 Ph: (503) 624-2600	Kushanthi Surini Samaratunge, PSYD 7455 Sw Beveland Rd, Tigard, OR 97223-8610 Ph: (503) 624-2600

Reviews and Comments

Psychologist in Tigard, OR

Connie Francis Gibson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3740 Fax: 503-726-3741
Dr. Chyril Walker, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6950 Sw Hampton St, Suite 319, Tigard, OR 97223 Phone: 971-313-2094
Dr. Kris D Teshera, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9600 Sw Oak St, Suite 280, Tigard, OR 97223 Phone: 503-521-1981 Fax: 503-935-5884
Veronica C Johnstone, B.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3698
Dr. David Windstrom, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6950 Sw Hampton St, Ste. 218, Tigard, OR 97223 Phone: 503-972-8957
Lori Queen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7505 Sw Beveland Rd, Suite 204, Tigard, OR 97223 Phone: 503-639-6843
Kristin Mary Do, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7505 Sw Beveland Rd Ste 205, Tigard, OR 97223 Phone: 503-888-4951 Fax: 971-217-9029

Kushanthi Surini Samaratunge, PSYD - Medicare Psychologist in Tigard, OR