DANE WANNIARACHIGE MD
NPI 1023636503
Student in an Organized Health Care Education/Training Program in Bangor, ME

Q: What is Dane Wanniarachige's NPI number?

The NPI number for Dane Wanniarachige is 1023636503. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Q: What is Dane Wanniarachige's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 10, 2020PECOS Enrolled

895 UNION ST STE 12, BANGOR, ME 04401(207) 973-7979(207) 947-9579 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dane Wanniarachige Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANE WANNIARACHIGE MD (NPI 1023636503) is an individual student in an organized health care education/training program in Bangor, Maine and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023636503

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDANE WANNIARACHIGECredential: MD

Location Address895 UNION ST STE 12Bangor, ME 04401-3054

Mailing Address43 Whiting Hill Rd Ste 350Brewer, ME 04412-1020 · (207) 973-5035 · Fax (207) 973-5042

Phone(207) 973-7979

Fax(207) 947-9579

Sole ProprietorNo

Enumeration DateJuly 10, 2020

NPPES CertifiedJuly 10, 2020

✔ NPI 1023636503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

895 UNION ST STE 12, Bangor, ME 04401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dane Wanniarachige Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.63 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$78.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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