Candice Nicole Short, NP in Johnson City, TN - Medicare Nurse Practitioner

Candice Nicole Short, NP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. Her current practice location is 2151 Century Ln, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 439-4515.

Candice Nicole Short is licensed to practice in Tennessee (license number 19004) 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 1407264971.

Contact Information

	Candice Nicole Short, NP
	2151 Century Ln, Johnson City, TN 37604-4469
	(423) 439-4515
	(423) 439-5780

Map and Direction

Provider's Profile

Full Name	Candice Nicole Short
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2151 Century Ln, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407264971
Provider Enumeration Date: 07/29/2014
Last Update Date: 05/03/2017

Medicare PECOS Information:

PECOS PAC ID: 7012139470
Enrollment ID: I20141119001812

Medical Identifiers

Medical identifiers for Candice Nicole Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407264971	NPI	-	NPPES
Q007448	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19004 (Tennessee)	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 Nicole Short allows following entities to bill medicare on her behalf.

Entity Name	Brookwell Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366072159 PECOS PAC ID: 4981033032 Enrollment ID: O20200410002272

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 Nicole Short 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 Nicole Short, NP 365 Stout Drive, Johnson City, TN 37614-1703 Ph: (423) 439-4515	Candice Nicole Short, NP 2151 Century Ln, Johnson City, TN 37604-4469 Ph: (423) 439-4515

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615 Phone: 423-794-5988 Fax: 423-232-8583
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557

Candice Nicole Short, NP - Medicare Nurse Practitioner in Johnson City, TN