Candace S Mathis, DPH is a
Pharmacist based in Lascassas, Tennessee. Candace S Mathis is licensed to practice in Tennessee (license number 8504) and her current practice location is
4702 Lascassas Pike, Lascassas, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 896-9808.
NPI number for Candace S Mathis is 1578174272 and her current mailing address is 12001 Elrod Mcelroy Rd, Milton, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578174272.
Healthcare Provider's Profile
| Full Name | Candace S Mathis |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
|---|
| Location | 4702 Lascassas Pike, Lascassas, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578174272
- Provider Enumeration Date: 08/14/2020
- Last Update Date: 08/14/2020
Medical Identifiers
Medical identifiers for Candace S Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578174272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 8504 (Tennessee) | Primary |
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. Candace S Mathis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Candace S Mathis, DPH
12001 Elrod Mcelroy Rd,
Milton, TN 37118-4226
Ph: (615) 542-7772 | Candace S Mathis, DPH
4702 Lascassas Pike,
Lascassas, TN 37085-4511
Ph: (615) 896-9808 |
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