Mrs Candace Laird Duckworth, FNP-C in Brookhaven, MS

Mrs Candace Laird Duckworth, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. Her current practice location is 1578 Shanna Ln Nw, Brookhaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 757-9659.

Mrs Candace Laird Duckworth is licensed to practice in Mississippi (license number 903123) 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 1013534478.

Contact Information

	Mrs Candace Laird Duckworth, FNP-C
	1578 Shanna Ln Nw, Brookhaven, MS 39601-4420
	(601) 757-9659
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Candace Laird Duckworth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1578 Shanna Ln Nw, Brookhaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013534478
Provider Enumeration Date: 07/01/2020
Last Update Date: 07/01/2020

Medicare PECOS Information:

PECOS PAC ID: 7618383183
Enrollment ID: I20210308001621

Medical Identifiers

Medical identifiers for Mrs Candace Laird Duckworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013534478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903123 (Mississippi)	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. Mrs Candace Laird Duckworth allows following entities to bill medicare on her behalf.

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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. Mrs Candace Laird Duckworth 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
Mrs Candace Laird Duckworth, FNP-C 1578 Shanna Ln Nw, Brookhaven, MS 39601-4420 Ph: (601) 757-9659	Mrs Candace Laird Duckworth, FNP-C 1578 Shanna Ln Nw, Brookhaven, MS 39601-4420 Ph: (601) 757-9659

Reviews and Comments

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Mrs Candace Laird Duckworth, FNP-C - Medicare Nurse Practitioner in Brookhaven, MS