Sally Kandah, MD in Victorville, CA

Sally Kandah, MD is a medicare enrolled "Pediatrics" physician in Victorville, California. Her current practice location is 14011 Park Ave, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (833) 574-2273.

Sally Kandah is licensed to practice in California (license number 173971) 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 1922593631.

Contact Information

	Sally Kandah, MD
	14011 Park Ave, Victorville, CA 92392-2413
	(833) 574-2273
	Not Available

Map and Direction

Physician's Profile

Full Name	Sally Kandah
Gender	Female
Speciality	Pediatrics
Location	14011 Park Ave, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922593631
Provider Enumeration Date: 06/25/2018
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2668861493
Enrollment ID: I20211116001518

Medical Identifiers

Medical identifiers for Sally Kandah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922593631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MT216895 (Pennsylvania)	Secondary
208000000X	Pediatrics	173971 (California)	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. Sally Kandah allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Sally Kandah 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
Sally Kandah, MD 14011 Park Ave, Victorville, CA 92392-2413 Ph: () -	Sally Kandah, MD 14011 Park Ave, Victorville, CA 92392-2413 Ph: (833) 574-2273

Reviews and Comments

Pediatrics Doctors in Victorville, CA

Dr. Deepika Saini, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd, Victorville, CA 92395 Phone: 607-955-5656
Mrs. Rainilda Pinga Valencia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12677 Hesperia Rd, Suite 160, Victorville, CA 92395 Phone: 760-955-5656 Fax: 760-955-6176
Dr. Juvy S Salazar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12760 Hesperia Rd, #c, Victorville, CA 92395 Phone: 760-241-8088 Fax: 760-241-8803
Philip Sayler Brown, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12550 Hesperia Rd, Suite 100, Victorville, CA 92395 Phone: 760-241-6666 Fax: 760-241-7575
Mehwish Aslam, M.D; Pediatrics Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-956-8075
Daniela Andrea Bello Germino, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 11883 Amethyst Rd Ste 203, Victorville, CA 92392 Phone: 760-381-8075 Fax: 760-381-8043
Dr. Suck Jun Bang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15247 11th St, #1000, Victorville, CA 92395 Phone: 760-245-0102 Fax: 760-245-6171

Sally Kandah, MD - Medicare Pediatrics in Victorville, CA