Candice Latrice Reynolds, PMHNP-BC, FNP-C in Dover, DE

Candice Latrice Reynolds, PMHNP-BC, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dover, Delaware. Her current practice location is 1609 S State St, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 257-3135.

Candice Latrice Reynolds is licensed to practice in Delaware (license number LG-0000531) 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 1457664104.

Contact Information

	Candice Latrice Reynolds, PMHNP-BC, FNP-C
	1609 S State St, Dover, DE 19901-5148
	(302) 257-3135
	(302) 526-2410

Map and Direction

Provider's Profile

Full Name	Candice Latrice Reynolds
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1609 S State St, Dover, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457664104
Provider Enumeration Date: 07/23/2010
Last Update Date: 03/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0143407650
Enrollment ID: I20110610000043

Medical Identifiers

Medical identifiers for Candice Latrice Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457664104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AC005517 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN9486111 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN9486111 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC005680 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	L8-0010481 (Delaware)	Secondary
363LF0000X	Nurse Practitioner - Family	LG-0000531 (Delaware)	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 Latrice Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Westside Family Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952303695 PECOS PAC ID: 6800706599 Enrollment ID: O20040716000419

Entity Name	Northnode Group Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003273954 PECOS PAC ID: 1254753114 Enrollment ID: O20200623000078

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 Latrice Reynolds 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 Latrice Reynolds, PMHNP-BC, FNP-C 2139 N University Dr, Pmb 3000, Coral Springs, FL 33071-6134 Ph: (302) 399-3019	Candice Latrice Reynolds, PMHNP-BC, FNP-C 1609 S State St, Dover, DE 19901-5148 Ph: (302) 257-3135

Reviews and Comments

Nurse Practitioner Nurses in Dover, DE

Jonelle Murph, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 South Queen Street, Ste 102, Dover, DE 19904 Phone: 800-818-8680 Fax: 866-229-0237
Abigail Kozhuharov, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-674-4700
Mrs. Angela Erin Knotts, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1673 S State St Ste B, Dover, DE 19901 Phone: 855-527-7246 Fax: 866-229-5063
Reny Varghese, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Walker Rd # 6541, Dover, DE 19904 Phone: 302-734-1199
Michelle L Leite, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Banning St Ste 270, Dover, DE 19904 Phone: 302-674-1999
Lisa Anne Wullschleger, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 River Rd, Kent County Public Health Family Planning, Dover, DE 19901 Phone: 302-739-4728 Fax: 302-739-7735
Linda Ann Ashley, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Beiser Blvd Ste 201, Dover, DE 19904 Phone: 302-678-7438 Fax: 302-678-7434

Candice Latrice Reynolds, PMHNP-BC, FNP-C - Medicare Nurse Practitioner in Dover, DE