Candis Clark, OD in Ada, OK - Medicare Optometry Provider

Candis Clark, OD is a medicare enrolled "Optometrist" provider in Ada, Oklahoma. She went to University Of Missouri St Louis - School Of Optometry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Chickasaw Nation Division Of Health Chickasaw Nation Medical Center and her current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-3980.

Candis Clark is licensed to practice in Missouri (license number 2018019397) 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 1235623570.

Contact Information

	Candis Clark, OD
	1921 Stonecipher Dr, Ada, OK 74820-3439
	(580) 436-3980
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Candis Clark
Gender	Female
Speciality	Optometry
Experience	6 Years
Location	1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Candis Clark attended and graduated from University Of Missouri St Louis - School Of Optometry in 2018

NPI Data:

NPI Number: 1235623570
Provider Enumeration Date: 06/20/2018
Last Update Date: 02/08/2024

Medicare PECOS Information:

PECOS PAC ID: 3971859653
Enrollment ID: I20180711001016

Medical Identifiers

Medical identifiers for Candis Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235623570	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2018019397 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chickasaw Nation Medical Center	Ada, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center	8426957523	219

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. Candis Clark allows following entities to bill medicare on her behalf.

Provider Name	Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364

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. Candis Clark 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
Candis Clark, OD 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980	Candis Clark, OD 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980

Reviews and Comments

Optometrist in Ada, OK

Elliott Vision Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1139 N Hills Ctr, Ada, OK 74820 Phone: 580-332-6000 Fax: 580-332-6006
Courtney K Bratton, OD Optometrist Medicare: Medicare Enrolled Practice Location: 500 N Monte Vista St, Suite 3, Ada, OK 74820 Phone: 580-272-9600 Fax: 580-272-9602
Advanced Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 1433 Arlington St, Ada, OK 74820 Phone: 580-332-5606 Fax: 580-332-3946
Travis W Thompson, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980
Dr. Julie Kaylynn Wolfe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6293
Derek Gurley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1433 Arlington St, Ada, OK 74820 Phone: 580-436-5606
Mrs. Stacy G Presley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1433 Arlington St, Ada, OK 74820 Phone: 580-332-5606 Fax: 580-332-3946

Candis Clark, OD - Medicare Optometrist in Ada, OK