Ms Candice Dyer, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Northlake, Illinois. Her current practice location is
400 N Wolf Rd, Northlake, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 551-1400.
Ms Candice Dyer is licensed to practice in Illinois (license number 209014605) 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 1013461797.
Provider's Profile
Full Name | Ms Candice Dyer |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 400 N Wolf Rd, Northlake, Illinois |
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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: 1013461797
- Provider Enumeration Date: 08/10/2016
- Last Update Date: 06/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991091506
- Enrollment ID: I20160908000784
Medical Identifiers
Medical identifiers for Ms Candice Dyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013461797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209014605 (Illinois) | 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. Ms Candice Dyer allows following entities to bill medicare on her behalf.
Entity Name | Physicians Immediate Care Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
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Entity Name | Physicians Immediate Care North Chicago Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
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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. Ms Candice Dyer 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 |
Ms Candice Dyer, FNP-C 400 N Wolf Rd, Northlake, IL 60164-1659 Ph: (708) 551-1400 | Ms Candice Dyer, FNP-C 400 N Wolf Rd, Northlake, IL 60164-1659 Ph: (708) 551-1400 |
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