Shirin Pilakka Kandakkil, MD - Medicare Family Medicine in Fond Du Lac, WI

Shirin Pilakka Kandakkil, MD is a medicare enrolled "Family Medicine" physician in Fond Du Lac, Wisconsin. Her current practice location is 889 E Johnson St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (209) 367-6700.

Shirin Pilakka Kandakkil is licensed to practice in Wisconsin (license number 81083-20) 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 1811514656.

Contact Information

Shirin Pilakka Kandakkil, MD
889 E Johnson St,
Fond Du Lac, WI 54935-2933
(209) 367-6700
Not Available



Physician's Profile

Full NameShirin Pilakka Kandakkil
GenderFemale
SpecialityFamily Medicine
Location889 E Johnson St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811514656
  • Provider Enumeration Date: 06/27/2020
  • Last Update Date: 03/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284096959
  • Enrollment ID: I20230811001347

Medical Identifiers

Medical identifiers for Shirin Pilakka Kandakkil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811514656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 81083-20 (Wisconsin)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. Shirin Pilakka Kandakkil allows following entities to bill medicare on her behalf.
Entity NameFroedtert Manitowoc Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437829975
PECOS PAC ID: 2365836954
Enrollment ID: O20220224001282

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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. Shirin Pilakka Kandakkil 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
Shirin Pilakka Kandakkil, MD
1414 N Taylor Dr,
Sheboygan, WI 53081-3090

Ph: (920) 476-6300
Shirin Pilakka Kandakkil, MD
889 E Johnson St,
Fond Du Lac, WI 54935-2933

Ph: (209) 367-6700

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Family Medicine Doctors in Fond Du Lac, WI

Jeanette Roehl, APNP FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 920-907-7000    
Lynda J Kasper, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8200    
Heather Pearson Schmidt, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8500    Fax: 920-926-8983
Gina M Everson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8200    
William J Brusky, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 145 N Main St, Fond Du Lac, WI 54935
Phone: 920-926-8492    
Marcie Ann Janz, APNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935
Phone: 920-929-8120    Fax: 920-929-8126
Gay D Trepanier, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935
Phone: 920-929-8120    Fax: 920-929-8126

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