Candice K Cummings, LCSW, ISW - Medicare Counselor in Sioux Falls, SD

Candice K Cummings, LCSW, ISW is a medicare enrolled "Counselor - Mental Health" provider in Sioux Falls, South Dakota. Her current practice location is 4400 W 69th St, Ste 1500, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-5700.

Candice K Cummings is licensed to practice in South Dakota (license number 1206) 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 1083686588.

Contact Information

Candice K Cummings, LCSW, ISW
4400 W 69th St, Ste 1500,
Sioux Falls, SD 57108-8170
(605) 322-5700
(605) 322-5704

Map and Direction


Healthcare Provider's Profile

Full NameCandice K Cummings
GenderFemale
SpecialityCounselor - Mental Health
Location4400 W 69th St, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083686588
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 10/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6002826724
  • Enrollment ID: I20060426000167

Medical Identifiers

Medical identifiers for Candice K Cummings such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083686588NPI-NPPES
12200MedicaidND
67985OtherSDARAZ/ AMERICA'S PPO
141M6CUOtherMNCC SYSTEMS/ BLUE PLUS
16329OtherSDMIDLANDS CHOICE
0040493OtherSDBLUE CROSS
6570173MedicaidSD
040121002OtherMNPRIMEWEST
412991028075OtherSDPREFERRED ONE
800013299OtherSDRR MEDICARE
9205348OtherSDDAKOTACARE
HP24854OtherSDHEALTHPARTNERS
1983361MedicaidIA
328017900MedicaidMN
33887OtherSDSANFORD HEALTH PLAN
57108C023OtherSDWPS TRICARE
370624200OtherSDDEPT OF LABOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 1206 (South Dakota)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 K Cummings allows following entities to bill medicare on her behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117

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 K Cummings 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
Candice K Cummings, LCSW, ISW
Po Box 86370,
Sioux Falls, SD 57118-6370

Ph: (605) 322-7510
Candice K Cummings, LCSW, ISW
4400 W 69th St, Ste 1500,
Sioux Falls, SD 57108-8170

Ph: (605) 322-5700

Reviews and Comments


Counselor in Sioux Falls, SD

Susan Lynn Schmeichel Harder, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 2412 S Cliff Ave, Sioux Falls, SD 57105
Phone: 605-322-4079    Fax: 605-322-4080
Charles Deridder,
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Medicare: Not Enrolled in Medicare
Practice Location: 2501 W 22nd St, Sioux Falls, SD 57105
Phone: 605-336-3230    Fax: 605-977-4405
Sam Booth, MA
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Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105
Phone: 605-334-2696    
Emily Lynn Lake, LPC
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Practice Location: 4300 S Louise Ave Ste 201, Sioux Falls, SD 57106
Phone: 605-334-7713    
Mr. Victor Vincent Bien, MA, NCC, LPC, QMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2210 S Brown Pl, Sioux Falls, SD 57105
Phone: 605-336-1974    
Alyssa Sommer Mendel, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 310 S 1st Ave, Sioux Falls, SD 57104
Phone: 605-275-1328    
Kristi Miller, MS LPC MS QMHP
Counselor
Medicare: Medicare Enrolled
Practice Location: 1410 W 25th St, Sioux Falls, SD 57105
Phone: 605-334-2696    Fax: 605-339-9944

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.