Candler Ent Practice, Llc - Medicare in Savannah, GA

Candler Ent Practice, Llc is a medicare enrolled "Otolaryngology" provider in Savannah, Georgia. Their current practice location is 5356 Reynolds Street, Suite 505, Savannah, Georgia. You can reach out to their office (for appointments etc.) via phone at (912) 356-1515.

Candler Ent Practice, Llc is licensed to practice in Georgia (license number 025161) and it also participates in the medicare program. Candler Ent Practice, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1477969749.

Contact Information

Candler Ent Practice, Llc
5356 Reynolds Street, Suite 505,
Savannah, GA 31405
(912) 356-1515
(912) 644-0756

Map and Direction




Healthcare Provider's Profile

Full NameCandler Ent Practice, Llc
TypeFacility
SpecialityOtolaryngology
Location5356 Reynolds Street, Savannah, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477969749
  • Provider Enumeration Date: 07/08/2014
  • Last Update Date: 10/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7214157742
  • Enrollment ID: O20141006001604

Medical Identifiers

Medical identifiers for Candler Ent Practice, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477969749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AUD003814 (Georgia)Secondary
207Y00000XOtolaryngology 025161 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Candler Ent Practice, Llc acts as a billing entity for following providers:
Provider NameManning M Goldsmith
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1164464111
PECOS PAC ID: 4789677220
Enrollment ID: I20040408000356
Provider NameJames R Logan
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1780626804
PECOS PAC ID: 8729067384
Enrollment ID: I20040716000574
Provider NameChristina B Burns
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1659472744
PECOS PAC ID: 3577532183
Enrollment ID: I20040930000349
Provider NameMary J Mcgowan
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1245331354
PECOS PAC ID: 6002873288
Enrollment ID: I20041220000608
Provider NameMichael D Poole
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1376561142
PECOS PAC ID: 8527012145
Enrollment ID: I20050308000133
Provider NameTrisha L Dibkey
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1932141322
PECOS PAC ID: 4981765633
Enrollment ID: I20090615000001
Provider NameTimothy John Minton
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1205086931
PECOS PAC ID: 9638221153
Enrollment ID: I20141104002733
Provider NameStephanie Ambrose
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1093011249
PECOS PAC ID: 6002055563
Enrollment ID: I20160617001380
Provider NameRachel Leigh Crout
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1588043004
PECOS PAC ID: 3072801174
Enrollment ID: I20170406002070
Provider NameJessica Lynn Tumolillo
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1922538669
PECOS PAC ID: 6103196852
Enrollment ID: I20170727004020
Provider NameBrianna L Sapp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659843910
PECOS PAC ID: 8729311550
Enrollment ID: I20190611002272
Provider NameTyler Keith Deblieux
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1295154748
PECOS PAC ID: 8022337922
Enrollment ID: I20190903001243
Provider NameLeah Nicole Blackwell
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1336886282
PECOS PAC ID: 5799165858
Enrollment ID: I20220707000004
Provider NamePreeti Noronha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831456441
PECOS PAC ID: 8325337934
Enrollment ID: I20240117002509
Provider NameAmy Flamenbaum
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1922405992
PECOS PAC ID: 9830624030
Enrollment ID: I20241125003281

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. Candler Ent Practice, Llc 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 AddressPractice Location Address
Candler Ent Practice, Llc
836 E. 65th Street, Suite 22,
Savannah, GA 31405

Ph: (912) 819-7878
Candler Ent Practice, Llc
5356 Reynolds Street, Suite 505,
Savannah, GA 31405

Ph: (912) 356-1515

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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