Candida Cordice-ford, MD is a medicare enrolled "Pediatrics" physician in St Albans, New York. Her current practice location is
11120 Merrick Blvd, St Albans, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 206-9888.
Candida Cordice-ford is licensed to practice in New York (license number 213753) 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 1992755912.
Physician's Profile
| Full Name | Candida Cordice-ford |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 11120 Merrick Blvd, St Albans, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992755912
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 01/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 9032398912
- Enrollment ID: I20110125000100
Medical Identifiers
Medical identifiers for Candida Cordice-ford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992755912 | NPI | - | NPPES |
| 01991542 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 213753 (New York) | 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. Candida Cordice-ford allows following entities to bill medicare on her behalf.
| Entity Name | Jamaica Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477505220
PECOS PAC ID: 2264324334
Enrollment ID: O20040427001519 |
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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. Candida Cordice-ford 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 |
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Candida Cordice-ford, MD
80 Marcus Dr, Provider Enrollment,
Melville, NY 11747-4230
Ph: (631) 391-7889 | Candida Cordice-ford, MD
11120 Merrick Blvd,
St Albans, NY 11433
Ph: (718) 206-9888 |
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