Candance Childress, NURSE PRACTITIONER in Pearl, MS

Candance Childress, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Pearl, Mississippi. Her current practice location is 4635 Highway 80 E, Pearl, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 825-7280.

Candance Childress is licensed to practice in Mississippi (license number R873292) 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 1427459817.

Contact Information

	Candance Childress, NURSE PRACTITIONER
	4635 Highway 80 E, Pearl, MS 39208-4226
	(601) 825-7280
	(601) 825-8130

Map and Direction

Provider's Profile

Full Name	Candance Childress
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4635 Highway 80 E, Pearl, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427459817
Provider Enumeration Date: 09/04/2014
Last Update Date: 10/14/2016

Medicare PECOS Information:

PECOS PAC ID: 2860713799
Enrollment ID: I20150604000486

Medical Identifiers

Medical identifiers for Candance Childress such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427459817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R873292 (Mississippi)	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. Candance Childress allows following entities to bill medicare on her behalf.

Entity Name	Family Health Care Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179

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. Candance Childress 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
Candance Childress, NURSE PRACTITIONER Po Box 24116, Jackson, MS 39225-4116 Ph: (601) 825-7280	Candance Childress, NURSE PRACTITIONER 4635 Highway 80 E, Pearl, MS 39208-4226 Ph: (601) 825-7280

Reviews and Comments

Nurse Practitioner Nurses in Pearl, MS

Deidra Thompson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880
Aubree Jean Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880
Mr. Edward Scott Callihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700
Meredith Selman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-531-8020
Tiffany Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208 Phone: 601-623-9245 Fax: 601-623-9246
Jade Alexandra Roberts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-345-2124
Mrs. Kimberly Renee Blumenberg, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880

Candance Childress, NURSE PRACTITIONER - Medicare Nurse Practitioner in Pearl, MS