Dr Candice Ella Clark, DDS - Medicare Dentist in Farmington, NM

Dr Candice Ella Clark, DDS is a medicare enrolled "Dentist - General Practice" provider in Farmington, New Mexico. Her current practice location is 506 Airport Dr, Farmington, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 325-7700.

Dr Candice Ella Clark is licensed to practice in New Mexico (license number DD2673) 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 1124018379.

Contact Information

Dr Candice Ella Clark, DDS
506 Airport Dr,
Farmington, NM 87401-2602
(505) 325-7700
(505) 327-5710

Map and Direction




Healthcare Provider's Profile

Full NameDr Candice Ella Clark
GenderFemale
SpecialityDentist - General Practice
Location506 Airport Dr, Farmington, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124018379
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3173834579
  • Enrollment ID: I20160317000784

Medical Identifiers

Medical identifiers for Dr Candice Ella Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124018379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DD2673 (New Mexico)Primary

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. Dr Candice Ella Clark 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
Dr Candice Ella Clark, DDS
530 N Telshor Blvd, Suite A,
Las Cruces, NM 88011-8243

Ph: (505) 532-5437
Dr Candice Ella Clark, DDS
506 Airport Dr,
Farmington, NM 87401-2602

Ph: (505) 325-7700

Reviews and Comments


Dentist in Farmington, NM

Peter John Debuck, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 3501 N Butler Ave, Farmington, NM 87401
Phone: 505-918-1531    
Justin Ewell, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3501 N Butler Ave, Suite 104, Farmington, NM 87401
Phone: 505-564-4470    Fax: 505-325-9707
Dr. Van C Smith, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 114 W Apache St, Farmington, NM 87401
Phone: 505-326-2243    Fax: 505-326-3527
Dr. Derek Edward Owens, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3030 E Main St Ste T1, Farmington, NM 87402
Phone: 505-325-4867    
Rachel Lynn Mankowitz,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6588 E Main St, Farmington, NM 87402
Phone: 505-326-6800    
Dr. David Jay Herman, D.D.S., M.S., M.P.H
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3751 N Butler Ave, Suite 113, Farmington, NM 87401
Phone: 505-564-9000    Fax: 505-564-9100
Dr. Christian Reed Anderson, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6588 E Main St, Farmington, NM 87402
Phone: 503-326-6800    

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.