Dr Carl D Gandola, MD - Medicare Internal Medicine in Covington, KY

Dr Carl D Gandola, MD is a medicare enrolled "Internal Medicine" physician in Covington, Kentucky. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1976 and has 48 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 1500 James Simpson Jr Way, Suite 201, Covington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 655-8980.

Dr Carl D Gandola is licensed to practice in Kentucky (license number 45251) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376529461.

Contact Information

Dr Carl D Gandola, MD
1500 James Simpson Jr Way, Suite 201,
Covington, KY 41011-0801
(859) 655-8980
(859) 655-8981

Map and Direction




Physician's Profile

Full NameDr Carl D Gandola
GenderMale
SpecialityInternal Medicine
Experience48 Years
Location1500 James Simpson Jr Way, Covington, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carl D Gandola attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1976
  NPI Data:
  • NPI Number: 1376529461
  • Provider Enumeration Date: 12/20/2005
  • Last Update Date: 09/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1850416389
  • Enrollment ID: I20120605000450

Medical Identifiers

Medical identifiers for Dr Carl D Gandola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376529461NPI-NPPES
64785306MedicaidKY
401578MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine TP405 (Kentucky)Secondary
207R00000XInternal Medicine 35043698 (Ohio)Secondary
207R00000XInternal Medicine 45251 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth Ft ThomasFort thomas, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712

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. Dr Carl D Gandola allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

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. Dr Carl D Gandola 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 AddressPractice Location Address
Dr Carl D Gandola, MD
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 655-8980
Dr Carl D Gandola, MD
1500 James Simpson Jr Way, Suite 201,
Covington, KY 41011-0801

Ph: (859) 655-8980

Reviews and Comments


Internal Medicine Doctors in Covington, KY

Liah Jeane Laureno-alvarez, MD
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Medicare: Medicare Enrolled
Practice Location: 1132 Greenup St, Covington, KY 41011
Phone: 859-655-6100    
Dr. Ned Mehlman, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-9500    Fax: 859-655-3077
Irina Korableva, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-8910    Fax: 859-655-8911
Jaspreet Kaur Chahal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1500 James Simpson Jr Way, Suite 200, Covington, KY 41011
Phone: 859-655-8910    Fax: 859-655-8911
Erin Renee Tischner, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-8980    Fax: 859-655-8981
Dr. Allen Joseph Zobay, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-1100    Fax: 859-655-1102

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.