Manjot Kandola, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Manteca, California. His current practice location is
531 Polk St, Manteca, California. You can reach out to his office (for appointments etc.) via phone at
(209) 658-6965.
Manjot Kandola is licensed to practice in California (license number 95002277) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144890898.
Provider's Profile
| Full Name | Manjot Kandola |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 531 Polk St, Manteca, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1144890898
- Provider Enumeration Date: 06/25/2021
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062850464
- Enrollment ID: I20240404001384
Medical Identifiers
Medical identifiers for Manjot Kandola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144890898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002277 (California) | 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. Manjot Kandola allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Anesthesia Incorporated |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720543762
PECOS PAC ID: 4880936145
Enrollment ID: O20190507001500 |
|---|
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1578272415
PECOS PAC ID: 3870964323
Enrollment ID: O20230120001928 |
|---|
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. Manjot Kandola 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 |
|---|
Manjot Kandola,
531 Polk St,
Manteca, CA 95337-9047
Ph: (209) 658-6965 | Manjot Kandola,
531 Polk St,
Manteca, CA 95337-9047
Ph: (209) 658-6965 |
Reviews and Comments