Dr Shanti Smitha Telikicherla Kandala, in Worcester, MA

Dr Shanti Smitha Telikicherla Kandala, is a medicare enrolled "Dentist" provider in Worcester, Massachusetts. Her current practice location is 19 Tacoma St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 854-2122.

Dr Shanti Smitha Telikicherla Kandala is licensed to practice in Massachusetts (license number DL13493) 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 1659756252.

Contact Information

	Dr Shanti Smitha Telikicherla Kandala,
	19 Tacoma St, Worcester, MA 01605-3516
	(508) 854-2122
	(508) 854-2122

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shanti Smitha Telikicherla Kandala
Gender	Female
Speciality	Dentist
Location	19 Tacoma St, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659756252
Provider Enumeration Date: 07/23/2015
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 9638445661
Enrollment ID: I20171211001000

Medical Identifiers

Medical identifiers for Dr Shanti Smitha Telikicherla Kandala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659756252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DL12643 (Massachusetts)	Secondary
122300000X	Dentist	DL13493 (Massachusetts)	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. Dr Shanti Smitha Telikicherla Kandala allows following entities to bill medicare on her behalf.

Entity Name	Edward M Kennedy Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609842152 PECOS PAC ID: 3476512740 Enrollment ID: O20041004000840

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. Dr Shanti Smitha Telikicherla Kandala 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
Dr Shanti Smitha Telikicherla Kandala, 650 Lincoln St, Worcester, MA 01605-2060 Ph: (508) 852-1805	Dr Shanti Smitha Telikicherla Kandala, 19 Tacoma St, Worcester, MA 01605-3516 Ph: (508) 854-2122

Reviews and Comments

Dentist in Worcester, MA

Dr. Jin-nyung Chang, Dentist Medicare: Not Enrolled in Medicare Practice Location: 129 Lincoln St, Worcester, MA 01605 Phone: 508-754-5891
Dr. Hayrapet Sahakyants, Dentist Medicare: Not Enrolled in Medicare Practice Location: 64 Highland St, Worcester, MA 01609 Phone: 508-926-8660
Ping Zhang, Dentist Medicare: Not Enrolled in Medicare Practice Location: 68 Stafford St, Worcester, MA 01603 Phone: 508-770-0900
Dr. Dennis Joseph Dowd, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1086 Pleasant St, Worcester, MA 01602 Phone: 508-797-9708
Vijeta Singh, DDS Dentist Medicare: Medicare Enrolled Practice Location: 68 Stafford St, Worcester, MA 01603 Phone: 508-770-0900
Maura Sanders, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 26 Queen St, Dental Dept., Worcester, MA 01610 Phone: 508-860-7910
Nithin Thampi, Dentist Medicare: Medicare Enrolled Practice Location: 290 Park Ave, Worcester, MA 01609 Phone: 508-798-9040

Dr Shanti Smitha Telikicherla Kandala, - Medicare Dentist in Worcester, MA