Candace Fanale, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
4907 Morena Blvd Ste 1412, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 247-2417.
Candace Fanale is licensed to practice in California (license number 30957) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689907370.
Healthcare Provider's Profile
Full Name | Candace Fanale |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 8 Years |
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Location | 4907 Morena Blvd Ste 1412, San Diego, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Candace Fanale graduated from medical school in 2017
NPI Data:
- NPI Number: 1689907370
- Provider Enumeration Date: 09/12/2009
- Last Update Date: 06/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769817113
- Enrollment ID: I20200114000861
Medical Identifiers
Medical identifiers for Candace Fanale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689907370 | NPI | - | NPPES |
1689907370 | Other | | N/A |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 30957 (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. Candace Fanale allows following entities to bill medicare on her behalf.
Entity Name | Within Sight Psychological And Integrated Solutions, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215596846 PECOS PAC ID: 1850726209 Enrollment ID: O20200114000753 |
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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. Candace Fanale 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 |
Candace Fanale, PHD 3960 W Point Loma Blvd, Ste #56720, San Diego, CA 92110 Ph: () - | Candace Fanale, PHD 4907 Morena Blvd Ste 1412, San Diego, CA 92117-7391 Ph: (858) 247-2417 |
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