| Kandis Wright Boothe, MD, PHD | |
|
3615 19th St, Lubbock, TX 79410-1203 | |
| (806) 725-4130 | |
| (253) 682-1714 |
| Full Name | Kandis Wright Boothe |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 4 Years |
| Location | 3615 19th St, Lubbock, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912589177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 72561 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | V3250 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner-university Medical Group | 7719899871 | 950 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Kandis Wright Boothe, MD, PHD 3506 21st St Bldg 14, Lubbock, TX 79410-1212 Ph: (806) 725-4130 | Kandis Wright Boothe, MD, PHD 3615 19th St, Lubbock, TX 79410-1203 Ph: (806) 725-4130 |
Mustafa Aly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-4130 | |
Janice Stachowiak, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-3150 Fax: 806-743-3168 | |
M Alan Sharif, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4802 N Loop 289, Lubbock, TX 79416 Phone: 806-788-0040 Fax: 806-788-0015 | |
Dr. Vernon Farthing, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3502 9th St, Ste. 210, Lubbock, TX 79415 Phone: 806-762-8461 | |
Ashref Mohamed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 19th St, Lubbock, TX 79410 Phone: 806-725-4130 | |
Sima Lina Shahbandar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St # Ms 9410, Lubbock, TX 79430 Phone: 806-743-6840 | |
Howard P Hurd Ii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 |