Raj Kandavanam, MD in Deland, FL - Medicare Family Practice

Raj Kandavanam, MD is a medicare enrolled "Family Medicine" physician in Deland, Florida. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ormond Medical Arts, Diagnostic Clinic Medical Group Inc and his current practice location is 1590 S Sr 15a, Suite 100, Deland, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 774-0016.

Raj Kandavanam is licensed to practice in Florida (license number ME111840) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1821223587.

Contact Information

	Raj Kandavanam, MD
	1590 S Sr 15a, Suite 100, Deland, FL 32720-7817
	(386) 774-0016
	(386) 774-0606

Map and Direction

Physician's Profile

Full Name	Raj Kandavanam
Gender	Male
Speciality	Family Practice
Experience	15 Years
Location	1590 S Sr 15a, Deland, Florida
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Raj Kandavanam graduated from medical school in 2009

NPI Data:

NPI Number: 1821223587
Provider Enumeration Date: 05/26/2009
Last Update Date: 05/01/2013

Medicare PECOS Information:

PECOS PAC ID: 4587812235
Enrollment ID: I20120921000244

Medical Identifiers

Medical identifiers for Raj Kandavanam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821223587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME111840 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Deland	Deland, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ormond Medical Arts	1254222565	32
Diagnostic Clinic Medical Group Inc	4082526280	74

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. Raj Kandavanam allows following entities to bill medicare on his behalf.

Entity Name	Diagnostic Clinic Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407851314 PECOS PAC ID: 4082526280 Enrollment ID: O20031105000430

Entity Name	Leesburg Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245226190 PECOS PAC ID: 1254228448 Enrollment ID: O20040302001078

Entity Name	Ormond Medical Arts
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326254962 PECOS PAC ID: 1254222565 Enrollment ID: O20040324000407

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. Raj Kandavanam 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
Raj Kandavanam, MD 1590 S Sr 15a, Suite 100, Deland, FL 32720-7817 Ph: (386) 774-0016	Raj Kandavanam, MD 1590 S Sr 15a, Suite 100, Deland, FL 32720-7817 Ph: (386) 774-0016

Reviews and Comments

Family Medicine Doctors in Deland, FL

Thomas Jude Montaldo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St, Suite A, Deland, FL 32720 Phone: 386-943-7100 Fax: 386-738-2624
Robert Solomon Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 Phone: 386-943-3234
Sue-ellen Elizabeth Griffith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St Ste A, Deland, FL 32720 Phone: 386-943-7100
Stephen Mcaskill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-8000 Fax: 386-738-7211
Dr. Melanie Renee Vandemark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 S Woodland Blvd, Suite 300-c, Deland, FL 32720 Phone: 386-740-1701
Dr. Elizabeth Rivera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 929 N Spring Garden Ave Ste 170, Deland, FL 32720 Phone: 386-738-9144 Fax: 386-738-9213
Mr. Cesar Nabong Abiera Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2729 S Woodland Blvd, Deland, FL 32720 Phone: 386-943-8883 Fax: 386-943-8056

Raj Kandavanam, MD - Medicare Family Practice in Deland, FL