Sally Kandah, MD in Fort Myers, FL

Sally Kandah, MD is a medicare enrolled "Pediatrics" physician in Fort Myers, Florida. Her current practice location is 9350 Camelot Dr, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 481-5437.

Sally Kandah is licensed to practice in Florida (license number ME166873) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922593631.

Contact Information

	Sally Kandah, MD
	9350 Camelot Dr, Fort Myers, FL 33919-7980
	(239) 481-5437
	(239) 481-0570

Map and Direction

Physician's Profile

Full Name	Sally Kandah
Gender	Female
Speciality	Pediatrics
Location	9350 Camelot Dr, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922593631
Provider Enumeration Date: 06/25/2018
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 2668861493
Enrollment ID: I20211116001518

Medical Identifiers

Medical identifiers for Sally Kandah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922593631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MT216895 (Pennsylvania)	Secondary
208000000X	Pediatrics	173971 (California)	Secondary
208000000X	Pediatrics	ME166873 (Florida)	Primary

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. Sally Kandah allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Sally Kandah 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
Sally Kandah, MD 12730 New Brittany Blvd Ste 602, Fort Myers, FL 33907-4690 Ph: (239) 275-5522	Sally Kandah, MD 9350 Camelot Dr, Fort Myers, FL 33919-7980 Ph: (239) 481-5437

Reviews and Comments

Pediatrics Doctors in Fort Myers, FL

Price S Ward, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5000
Melanie Aliza Coombs-bynum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9350 Camelot Dr, Fort Myers, FL 33919 Phone: 239-481-5437 Fax: 239-481-0570
Dr. Emad S Mansour, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5651 Fax: 239-343-5652
Cayce Jehaimi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15901 Bass Rd Ste 102, Fort Myers, FL 33908 Phone: 239-343-9890 Fax: 239-343-9898
Dr. Dana Debord Crater, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9350 Camelot Dr, Fort Myers, FL 33919 Phone: 239-481-5437 Fax: 239-481-0570
Dr. Robert Edward Rayder, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave Ste 209, Fort Myers, FL 33901 Phone: 239-278-9983 Fax: 239-278-9985
Dr. Hetty Zoe Snyderman, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Carrotwood Ct, Fort Myers, FL 33919 Phone: 239-898-8988

Sally Kandah, MD - Medicare Pediatrics in Fort Myers, FL