Shirin Pilakka Kandakkil, MD in Fond Du Lac, WI

Shirin Pilakka Kandakkil, MD is a medicare enrolled "Family Medicine" physician in Fond Du Lac, Wisconsin. Her current practice location is 1081 E Johnson St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 367-6700.

Shirin Pilakka Kandakkil is licensed to practice in Wisconsin (license number 81083-20) 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 1811514656.

Contact Information

	Shirin Pilakka Kandakkil, MD
	1081 E Johnson St, Fond Du Lac, WI 54935-8919
	(920) 367-6700
	Not Available

Map and Direction

Physician's Profile

Full Name	Shirin Pilakka Kandakkil
Gender	Female
Speciality	Family Medicine
Location	1081 E Johnson St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811514656
Provider Enumeration Date: 06/27/2020
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4284096959
Enrollment ID: I20230811001347

Medical Identifiers

Medical identifiers for Shirin Pilakka Kandakkil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811514656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	81083-20 (Wisconsin)	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. Shirin Pilakka Kandakkil allows following entities to bill medicare on her behalf.

Entity Name	Froedtert Manitowoc Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282

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. Shirin Pilakka Kandakkil 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
Shirin Pilakka Kandakkil, MD 1414 N Taylor Dr, Sheboygan, WI 53081-3090 Ph: (920) 476-6300	Shirin Pilakka Kandakkil, MD 1081 E Johnson St, Fond Du Lac, WI 54935-8919 Ph: (920) 367-6700

Reviews and Comments

Family Medicine Doctors in Fond Du Lac, WI

Lynda J Kasper, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200
Heather Pearson Schmidt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8500 Fax: 920-926-8983
Gina M Everson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200
William J Brusky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 N Main St, Fond Du Lac, WI 54935 Phone: 920-926-8492
Marcie Ann Janz, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935 Phone: 920-929-8120 Fax: 920-929-8126
Gay D Trepanier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935 Phone: 920-929-8120 Fax: 920-929-8126
Dr. Kevin Andrew Jessen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 912 S Hickory St, Fond Du Lac, WI 54935 Phone: 920-929-7490 Fax: 920-929-7470

Shirin Pilakka Kandakkil, MD - Medicare Family Medicine in Fond Du Lac, WI