Gincy Liz Kandankulam, MD | |
2465 S State Road 7 Ste 800, Wellington, FL 33414-9348 | |
(561) 784-4930 | |
(561) 793-4544 |
Full Name | Gincy Liz Kandankulam |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 20 Years |
Location | 2465 S State Road 7 Ste 800, Wellington, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477883965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 121147 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bethesda Hospital Inc | Boynton beach, FL | Hospital |
Boca Raton Regional Hospital | Boca raton, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bocacare Inc | 3870633753 | 171 |
Entity Name | Bocacare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104058940 PECOS PAC ID: 3870633753 Enrollment ID: O20091228000461 |
Mailing Address | Practice Location Address |
---|---|
Gincy Liz Kandankulam, MD 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 Ph: (561) 784-4930 | Gincy Liz Kandankulam, MD 2465 S State Road 7 Ste 800, Wellington, FL 33414-9348 Ph: (561) 784-4930 |
David S Gibbons, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1037 S State Road 7, Suite 211, Wellington, FL 33414 Phone: 561-798-3030 Fax: 561-798-8242 | |
Jasmine Wasif, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11714 Greenbriar Cir, Wellington, FL 33414 Phone: 754-368-8340 | |
Dr. Mariaclara E Bago, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1037 S State Road 7, Suite 211, Wellington, FL 33414 Phone: 561-798-3030 Fax: 561-798-8242 | |
Dr. Lucy Valencia, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12797 Forest Hill Blvd, Ste B, Wellington, FL 33414 Phone: 561-337-8881 Fax: 561-793-5788 | |
Dr. Richard Michael Hays, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1397 Medical Park Blvd, Suite 220, Wellington, FL 33414 Phone: 561-784-0202 Fax: 561-641-7732 | |
Dr. Ryan Matthew Fisher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2789 S State Road 7 Ste 100, Wellington, FL 33414 Phone: 561-898-5100 Fax: 561-898-5103 | |
Mr. Nikolaus Wim Pankow, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2465 S State Road 7 Ste 800, Wellington, FL 33414 Phone: 561-798-3030 Fax: 561-798-8242 |