Kenneth Andujar, DDS in Wauchula, FL - Medicare Dentist Provider

Kenneth Andujar, DDS is a medicare enrolled "Dentist - General Practice" provider in Wauchula, Florida. His current practice location is 807 Cobb Ct, Wauchula, Florida. You can reach out to his office (for appointments etc.) via phone at (866) 234-8534.

Kenneth Andujar is licensed to practice in Florida (license number DN27575) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538802673.

Contact Information

	Kenneth Andujar, DDS
	807 Cobb Ct, Wauchula, FL 33873-3161
	(866) 234-8534
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Andujar
Gender	Male
Speciality	Dentist - General Practice
Location	807 Cobb Ct, Wauchula, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538802673
Provider Enumeration Date: 04/17/2022
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5991163776
Enrollment ID: I20230627001361

Medical Identifiers

Medical identifiers for Kenneth Andujar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538802673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DN27575 (Florida)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Kenneth Andujar allows following entities to bill medicare on his behalf.

Entity Name	Central Florida Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228

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. Kenneth Andujar 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
Kenneth Andujar, DDS 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534	Kenneth Andujar, DDS 807 Cobb Ct, Wauchula, FL 33873-3161 Ph: (866) 234-8534

Reviews and Comments

Dentist in Wauchula, FL

Dr. Kenneth Chester Miles, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 807 Cobb Ct, Wauchula, FL 33873 Phone: 866-234-8534
Dr. Joseph Andrew Giroux, DMD Dentist Medicare: Medicare Enrolled Practice Location: 322 S 6th Ave, Wauchula, FL 33873 Phone: 863-773-9344 Fax: 863-773-9344
Dr. James M Pyle Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 323 S 6th Ave, Wauchula, FL 33873 Phone: 863-773-3204 Fax: 863-773-3205
Dr. Joseph Holmes, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 203 S 7th Ave, Wauchula, FL 33873 Phone: 863-773-9852 Fax: 863-773-5005
Mr. Thomas B Seifert, DDS Dentist Medicare: Medicare Enrolled Practice Location: 121 K D Revell Rd, Wauchula, FL 33873 Phone: 863-767-0696 Fax: 863-767-0697
Dr. Niki Suri, DDS Dentist Medicare: Medicare Enrolled Practice Location: 121 K D Revell Rd, Wauchula, FL 33873 Phone: 866-234-8534
Divya Gulati, DDS Dentist Medicare: Medicare Enrolled Practice Location: 322 S 6th Ave, Wauchula, FL 33873 Phone: 863-773-9344

Kenneth Andujar, DDS - Medicare Dentist in Wauchula, FL