Candice Elise Maldonado, NURSE PRACTITIONER - Medicare Nurse Practitioner in Tulsa, OK

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Candice Elise Maldonado, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Tulsa, Oklahoma. Her current practice location is 9245 S Mingo Rd, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 574-0250.

Candice Elise Maldonado is licensed to practice in Oklahoma (license number 99434) 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 1760845606.

Contact Information

Candice Elise Maldonado, NURSE PRACTITIONER
9245 S Mingo Rd,
Tulsa, OK 74133-5793
(918) 574-0250
(918) 574-0259

Map and Direction




Provider's Profile

Full NameCandice Elise Maldonado
GenderFemale
SpecialityNurse Practitioner - Family
Location9245 S Mingo Rd, Tulsa, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760845606
  • Provider Enumeration Date: 03/29/2016
  • Last Update Date: 03/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628363371
  • Enrollment ID: I20200312001707

Medical Identifiers

Medical identifiers for Candice Elise Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760845606NPI-NPPES
200646430AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 99434 (Oklahoma)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. Candice Elise Maldonado allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170
Entity NameCarbon Health Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276

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 Elise Maldonado 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
Candice Elise Maldonado, NURSE PRACTITIONER
2368 Meadowmont Dr Apt 401,
San Jose, CA 95133-1253

Ph: (336) 331-7600		Candice Elise Maldonado, NURSE PRACTITIONER
9245 S Mingo Rd,
Tulsa, OK 74133-5793

Ph: (918) 574-0250

Reviews and Comments


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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.