Candace M Dennison, APRN is a medicare enrolled "Nurse Practitioner - Family" in Munfordfille, Kentucky. Her current practice location is
220 Interstate Plaza Ste D, Munfordfille, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 524-2889.
Candace M Dennison is licensed to practice in Kentucky (license number 3017968) 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 1366175697.
Provider's Profile
| Full Name | Candace M Dennison |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 220 Interstate Plaza Ste D, Munfordfille, Kentucky |
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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: 1366175697
- Provider Enumeration Date: 07/05/2022
- Last Update Date: 10/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345621264
- Enrollment ID: I20220722001409
Medical Identifiers
Medical identifiers for Candace M Dennison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366175697 | NPI | - | NPPES |
| 7100828740 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3017968 (Kentucky) | 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. Candace M Dennison allows following entities to bill medicare on her behalf.
| Entity Name | T J Samson Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477609865
PECOS PAC ID: 0648182600
Enrollment ID: O20040318001777 |
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| Entity Name | Cumberland Family Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306873500
PECOS PAC ID: 6305947789
Enrollment ID: O20120221000433 |
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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. Candace M Dennison 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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Candace M Dennison, APRN
Po Box 1080,
Burkesville, KY 42717-1080
Ph: (270) 864-1472 | Candace M Dennison, APRN
220 Interstate Plaza Ste D,
Munfordfille, KY 42765-8207
Ph: (270) 524-2889 |
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