Mrs Candice Nicole Cliburn, NURSE PRACTITIONER - Medicare Nurse Practitioner in Brookhaven, MS

Mrs Candice Nicole Cliburn, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kings Daughters Medical Center and her current practice location is 511 Brookman Dr, Brookhaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 757-7227.

Mrs Candice Nicole Cliburn is licensed to practice in Mississippi (license number 901601) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902257165.

Contact Information

Mrs Candice Nicole Cliburn, NURSE PRACTITIONER
511 Brookman Dr,
Brookhaven, MS 39601-2326
(601) 757-7227
Not Available

Map and Direction




Provider's Profile

Full NameMrs Candice Nicole Cliburn
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location511 Brookman Dr, Brookhaven, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Candice Nicole Cliburn graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1902257165
  • Provider Enumeration Date: 06/28/2016
  • Last Update Date: 04/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850686544
  • Enrollment ID: I20160819000528

Medical Identifiers

Medical identifiers for Mrs Candice Nicole Cliburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902257165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 901601 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kings Daughters Medical Center307257553946

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 Nicole Cliburn allows following entities to bill medicare on her behalf.
Entity NameKings Daughters Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043245368
PECOS PAC ID: 3072575539
Enrollment ID: O20041028000174
Entity NameKdmc Physician Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861739161
PECOS PAC ID: 7012154495
Enrollment ID: O20130501000541
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291

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 Nicole Cliburn 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 AddressPractice Location Address
Mrs Candice Nicole Cliburn, NURSE PRACTITIONER
511 Brookman Dr,
Brookhaven, MS 39601-2326

Ph: (601) 757-7227
Mrs Candice Nicole Cliburn, NURSE PRACTITIONER
511 Brookman Dr,
Brookhaven, MS 39601-2326

Ph: (601) 757-7227

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.