Dr Kimbo Bello Sanda, MD - Medicare Internal Medicine in Shawnee, OK

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Dr Kimbo Bello Sanda, MD is a medicare enrolled "Internal Medicine" physician in Shawnee, Oklahoma. His current practice location is 2510 E Independence St Ste 102, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (678) 697-9315.

Dr Kimbo Bello Sanda is licensed to practice in Oklahoma (license number 43390) 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 1912587346.

Contact Information

Dr Kimbo Bello Sanda, MD
2510 E Independence St Ste 102,
Shawnee, OK 74804-1839
(678) 697-9315
Not Available

Map and Direction




Physician's Profile

Full NameDr Kimbo Bello Sanda
GenderMale
SpecialityInternal Medicine
Location2510 E Independence St Ste 102, Shawnee, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912587346
  • Provider Enumeration Date: 04/09/2021
  • Last Update Date: 11/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547791022
  • Enrollment ID: I20241008003455

Medical Identifiers

Medical identifiers for Dr Kimbo Bello Sanda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912587346NPI-NPPES
201299480AMedicaidOK
43390OtherOKLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 43390 (Oklahoma)Primary
208M00000XHospitalist 43390 (Oklahoma)Secondary

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 Kimbo Bello Sanda allows following entities to bill medicare on his behalf.
Entity NameAdvance Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750395448
PECOS PAC ID: 0244122083
Enrollment ID: O20040326000898
Entity NameCarnegie Tri-county Municipal Hospital Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275657017
PECOS PAC ID: 6800835935
Enrollment ID: O20050429000480
Entity NameMangum City Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033635263
PECOS PAC ID: 6305119942
Enrollment ID: O20181020000126

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 Kimbo Bello Sanda 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
Dr Kimbo Bello Sanda, MD
12552 Crick Hollow Ct,
Oklahoma City, OK 73170-2076

Ph: () -		Dr Kimbo Bello Sanda, MD
2510 E Independence St Ste 102,
Shawnee, OK 74804-1839

Ph: (678) 697-9315

Reviews and Comments


Internal Medicine Doctors in Shawnee, OK

Dr. Jeremy Patrick Holter, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814
Raphael C Francisco, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-878-5850    
Dr. Michael W. Butcher, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814
Dr. Kelli Denise Koons, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814
Dr. Isma Nusrat Javed, M.D
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804
Phone: 404-273-5801    
Dr. Phillip A. Haddad, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814
Harold Stanley Wood, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.