Dr Candra Smith-slatas, MD is a medicare enrolled "Pediatrics" physician in Wethersfield, Connecticut. Her current practice location is
1331 Silas Deane Hwy, Wethersfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 529-9933.
Dr Candra Smith-slatas is licensed to practice in Connecticut (license number 041450) 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 1871504712.
Physician's Profile
Full Name | Dr Candra Smith-slatas |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1331 Silas Deane Hwy, Wethersfield, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871504712
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840180089
- Enrollment ID: I20040319000366
Medical Identifiers
Medical identifiers for Dr Candra Smith-slatas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871504712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 041450 (Connecticut) | 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 Candra Smith-slatas allows following entities to bill medicare on her behalf.
Entity Name | Staywell Health Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374 |
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Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
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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. Dr Candra Smith-slatas 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 |
Dr Candra Smith-slatas, MD 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 Ph: (860) 284-5200 | Dr Candra Smith-slatas, MD 1331 Silas Deane Hwy, Wethersfield, CT 06109-4346 Ph: (860) 529-9933 |
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