Candis Anne Holloman, CPCI in Clearfield, UT - Medicare Counselor Provider

Candis Anne Holloman, CPCI is a medicare enrolled "Counselor - Mental Health" provider in Clearfield, Utah. Her current practice location is 189 S State St, Ste 160, Clearfield, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 773-2044.

Candis Anne Holloman is licensed to practice in Utah (license number 7201227-6009) 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 1871824524.

Contact Information

	Candis Anne Holloman, CPCI
	189 S State St, Ste 160, Clearfield, UT 84015-1061
	(801) 773-2044
	(801) 773-4826

Map and Direction

Healthcare Provider's Profile

Full Name	Candis Anne Holloman
Gender	Female
Speciality	Counselor - Mental Health
Location	189 S State St, Clearfield, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871824524
Provider Enumeration Date: 01/20/2010
Last Update Date: 01/20/2010

Medicare PECOS Information:

PECOS PAC ID: 9739530270
Enrollment ID: I20240109001550

Medical Identifiers

Medical identifiers for Candis Anne Holloman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871824524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	7201227-6009 (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. Candis Anne Holloman allows following entities to bill medicare on her behalf.

Entity Name	Weber Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043243140 PECOS PAC ID: 3274430244 Enrollment ID: O20031217000665

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. Candis Anne Holloman 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
Candis Anne Holloman, CPCI 189 S State St, Ste 160, Clearfield, UT 84015-1061 Ph: (801) 773-2044	Candis Anne Holloman, CPCI 189 S State St, Ste 160, Clearfield, UT 84015-1061 Ph: (801) 773-2044

Reviews and Comments

Counselor in Clearfield, UT

Laroy Glover, Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 E 450 S, Clearfield, UT 84015 Phone: 801-773-9149 Fax: 801-773-9152
Justin Cypers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 S State St Ste 222, Clearfield, UT 84015 Phone: 801-255-5131
Jennifer Lynne Wright, Counselor Medicare: Medicare Enrolled Practice Location: 446 E 450 S, Clearfield, UT 84015 Phone: 801-390-9447
Ruth Cabrera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 S State St, Suite 222, Clearfield, UT 84015 Phone: 801-255-5131 Fax: 801-255-5131
Desiree L White Eyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 S 500 E, Suite 135, Clearfield, UT 84015 Phone: 801-815-3443 Fax: 801-776-4162
Kaitlin Vallera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 S State St Ste 222, Clearfield, UT 84015 Phone: 801-255-5131 Fax: 801-255-5131
Kim Regina Williams - Redmond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1366 S Legend Hills Dr Ste 130, Clearfield, UT 84015 Phone: 801-528-2718

Candis Anne Holloman, CPCI - Medicare Counselor in Clearfield, UT