Candice Lea Drury, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hartland, Michigan. Her current practice location is
3075 N Tipsico Lake Rd, Hartland, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 629-5738.
Candice Lea Drury is licensed to practice in Michigan (license number 4704327000) 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 1619681566.
Provider's Profile
Full Name | Candice Lea Drury |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3075 N Tipsico Lake Rd, Hartland, Michigan |
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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: 1619681566
- Provider Enumeration Date: 01/05/2023
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931559820
- Enrollment ID: I20231218004192
Medical Identifiers
Medical identifiers for Candice Lea Drury such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619681566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704327000 (Michigan) | 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 Lea Drury allows following entities to bill medicare on her behalf.
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
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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. Candice Lea Drury 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 Lea Drury, FNP 3075 N Tipsico Lake Rd, Hartland, MI 48353-2319 Ph: (810) 629-5738 | Candice Lea Drury, FNP 3075 N Tipsico Lake Rd, Hartland, MI 48353-2319 Ph: (810) 629-5738 |
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