Candice Jane Child-illum, CSW, MSW is a medicare enrolled "Social Worker - Clinical" provider in Pleasant View, Utah. Her current practice location is
3149 N Highway 89 Ste 200, Pleasant View, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 782-6600.
Candice Jane Child-illum is licensed to practice in Utah (license number 11187387-3502) 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 1023670262.
Healthcare Provider's Profile
Full Name | Candice Jane Child-illum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3149 N Highway 89 Ste 200, Pleasant View, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023670262
- Provider Enumeration Date: 07/08/2019
- Last Update Date: 07/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 3072982206
- Enrollment ID: I20221212000584
Medical Identifiers
Medical identifiers for Candice Jane Child-illum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023670262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 11187387-3502 (Utah) | 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. Candice Jane Child-illum allows following entities to bill medicare on her behalf.
Entity Name | Mountain View Counseling Of North Ogden |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457068512 PECOS PAC ID: 2466821699 Enrollment ID: O20221212000418 |
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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. Candice Jane Child-illum 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 |
Candice Jane Child-illum, CSW, MSW 3149 N Highway 89 Ste 200, Pleasant View, UT 84404-1202 Ph: (801) 782-6600 | Candice Jane Child-illum, CSW, MSW 3149 N Highway 89 Ste 200, Pleasant View, UT 84404-1202 Ph: (801) 782-6600 |
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