Mrs Candice Elise Carlucci Haddock, NP in Bronx, NY

Mrs Candice Elise Carlucci Haddock, NP is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. Her current practice location is 1250 Waters Pl, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 920-4800.

Mrs Candice Elise Carlucci Haddock is licensed to practice in New York (license number 349252) 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 1821715491.

Contact Information

	Mrs Candice Elise Carlucci Haddock, NP
	1250 Waters Pl, Bronx, NY 10461-2720
	(718) 920-4800
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Candice Elise Carlucci Haddock
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1250 Waters Pl, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821715491
Provider Enumeration Date: 10/25/2022
Last Update Date: 10/25/2022

Medicare PECOS Information:

PECOS PAC ID: 8921444191
Enrollment ID: I20240311000697

Medical Identifiers

Medical identifiers for Mrs Candice Elise Carlucci Haddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821715491	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	718830 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	349252 (New York)	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 Candice Elise Carlucci Haddock allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

Entity Name	White Plains Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124502687 PECOS PAC ID: 3476894445 Enrollment ID: O20190402000216

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 Candice Elise Carlucci Haddock 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 Candice Elise Carlucci Haddock, NP 945 Knollwood Rd, White Plains, NY 10603-1121 Ph: () -	Mrs Candice Elise Carlucci Haddock, NP 1250 Waters Pl, Bronx, NY 10461-2720 Ph: (718) 920-4800

Reviews and Comments

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Mrs Candice Elise Carlucci Haddock, NP - Medicare Nurse Practitioner in Bronx, NY