Kandis Wright Boothe, MD, PHD in Lubbock, TX

Kandis Wright Boothe, MD, PHD is a medicare enrolled "Internal Medicine" physician in Lubbock, Texas. Her current practice location is 3615 19th St, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 725-4130.

Kandis Wright Boothe is licensed to practice in Texas (license number V3250) 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 1912589177.

Contact Information

	Kandis Wright Boothe, MD, PHD
	3615 19th St, Lubbock, TX 79410-1203
	(806) 725-4130
	(253) 682-1714

Map and Direction

Physician's Profile

Full Name	Kandis Wright Boothe
Gender	Female
Speciality	Internal Medicine
Location	3615 19th St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912589177
Provider Enumeration Date: 04/26/2021
Last Update Date: 06/29/2025

Medicare PECOS Information:

PECOS PAC ID: 9436559903
Enrollment ID: I20240924001626

Medical Identifiers

Medical identifiers for Kandis Wright Boothe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912589177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	72561 (Arizona)	Secondary
207R00000X	Internal Medicine	V3250 (Texas)	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. Kandis Wright Boothe allows following entities to bill medicare on her behalf.

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

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. Kandis Wright Boothe 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
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

Reviews and Comments

Internal Medicine Doctors in Lubbock, TX

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: Medicare Enrolled 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

Kandis Wright Boothe, MD, PHD - Medicare Internal Medicine in Lubbock, TX