Mrs Candace Renee Polk, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in St.clairsville, Ohio. Her current practice location is
100 Myrtie Drive, St.clairsville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(520) 244-2420.
Mrs Candace Renee Polk is licensed to practice in Ohio (license number 0036409) 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 1851149140.
Provider's Profile
Full Name | Mrs Candace Renee Polk |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 100 Myrtie Drive, St.clairsville, Ohio |
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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: 1851149140
- Provider Enumeration Date: 05/10/2024
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739624198
- Enrollment ID: I20240710003715
Medical Identifiers
Medical identifiers for Mrs Candace Renee Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851149140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0036409 (Ohio) | 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 Renee Polk allows following entities to bill medicare on her behalf.
Entity Name | Qofl Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20150129001317 |
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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. Mrs Candace Renee Polk 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 Renee Polk, FNP-BC 100 Myrtie Drive, St.clairsville, OH 43950 Ph: (502) 244-2420 | Mrs Candace Renee Polk, FNP-BC 100 Myrtie Drive, St.clairsville, OH 43950 Ph: (520) 244-2420 |
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