Candice Brantley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Squaw Valley, California. Her current practice location is
30924 E Kings Canyon Rd, Squaw Valley, California. You can reach out to her office (for appointments etc.) via phone at
(559) 332-9399.
Candice Brantley is licensed to practice in California (license number 95001891) 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 1275926164.
Provider's Profile
Full Name | Candice Brantley |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 30924 E Kings Canyon Rd, Squaw Valley, California |
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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: 1275926164
- Provider Enumeration Date: 03/17/2015
- Last Update Date: 03/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 5092012005
- Enrollment ID: I20160317002277
Medical Identifiers
Medical identifiers for Candice Brantley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275926164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95001891 (California) | Primary |
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. Candice Brantley 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 |
Candice Brantley, FNP-C 30924 E Kings Canyon, Squaw Valley, CA 93675 Ph: () - | Candice Brantley, FNP-C 30924 E Kings Canyon Rd, Squaw Valley, CA 93675-9601 Ph: (559) 332-9399 |
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