Dr Candace Renee Clocker, MD - Medicare Pediatrics in South Boston, VA

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Dr Candace Renee Clocker, MD is a medicare enrolled "Pediatrics" physician in South Boston, Virginia. Her current practice location is 2100 Wilborn Ave, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 517-8022.

Dr Candace Renee Clocker is licensed to practice in Virginia (license number 0101261852) 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 1841488905.

Contact Information

Dr Candace Renee Clocker, MD
2100 Wilborn Ave,
South Boston, VA 24592-1628
(434) 517-8022
(434) 517-8370

Map and Direction




Physician's Profile

Full NameDr Candace Renee Clocker
GenderFemale
SpecialityPediatrics
Location2100 Wilborn Ave, South Boston, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841488905
  • Provider Enumeration Date: 10/12/2007
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436330883
  • Enrollment ID: I20170322000818

Medical Identifiers

Medical identifiers for Dr Candace Renee Clocker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841488905NPI-NPPES
33110OtherSCLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2013-01833 (North Carolina)Secondary
261QP2300XClinic/center - Primary Care 33110 (South Carolina)Secondary
208000000XPediatrics 0101261852 (Virginia)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. Dr Candace Renee Clocker allows following entities to bill medicare on her behalf.
Entity NameHalifax Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588668842
PECOS PAC ID: 4587572805
Enrollment ID: O20040607000050

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 Candace Renee Clocker 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 Candace Renee Clocker, MD
2100 Wilborn Ave,
South Boston, VA 24592-1628

Ph: (434) 517-8022		Dr Candace Renee Clocker, MD
2100 Wilborn Ave,
South Boston, VA 24592-1628

Ph: (434) 517-8022

Reviews and Comments


Pediatrics Doctors in South Boston, VA

Maria Precious Tangan Torres, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2100 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-8022    Fax: 434-517-8022
Samantha Y King, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1627 Seymour Dr, South Boston, VA 24592
Phone: 434-575-1336    Fax: 434-575-1349
Nonna Lyn M Ebalo, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2212 Wilborn Ave, South Boston, VA 24592
Phone: 434-572-8921    Fax: 434-572-2063

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.