Kandasamy Ambalavanar, MD is a medicare enrolled "Internal Medicine" physician in Glen Burine, Maryland. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
7845 Oakwood Road, 103, Glen Burine, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 766-6447.
Kandasamy Ambalavanar is licensed to practice in Maryland (license number D0051596) 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 1477647097.
Physician's Profile
Full Name | Kandasamy Ambalavanar |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 42 Years |
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Location | 7845 Oakwood Road, Glen Burine, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kandasamy Ambalavanar graduated from medical school in 1982
NPI Data:
- NPI Number: 1477647097
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668507054
- Enrollment ID: I20100324000716
Medical Identifiers
Medical identifiers for Kandasamy Ambalavanar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477647097 | NPI | - | NPPES |
147400600 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | D0051596 (Maryland) | Primary |
Medical Facilities Affiliation
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. Kandasamy Ambalavanar allows following entities to bill medicare on his behalf.
Entity Name | University Of Maryland Community Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
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Entity Name | Ambi Physician Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750562898 PECOS PAC ID: 2163412255 Enrollment ID: O20040512000873 |
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Entity Name | Mdics At Bwmc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306131578 PECOS PAC ID: 7315106184 Enrollment ID: O20120314000455 |
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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. Kandasamy Ambalavanar 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 |
Kandasamy Ambalavanar, MD 7845 Oakwood Road, 103, Glen Burine, MD 21061 Ph: (410) 766-6447 | Kandasamy Ambalavanar, MD 7845 Oakwood Road, 103, Glen Burine, MD 21061 Ph: (410) 766-6447 |
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