Dr Candice Nicole Claiborne, PHD in Rome, GA - Medicare Psychologist Provider

Dr Candice Nicole Claiborne, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rome, Georgia. Her current practice location is 701 Broad St Ste 350, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 295-2028.

Dr Candice Nicole Claiborne is licensed to practice in Georgia (license number PSY003955) 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 1851605083.

Contact Information

	Dr Candice Nicole Claiborne, PHD
	701 Broad St Ste 350, Rome, GA 30161-3092
	(706) 295-2028
	(706) 295-2062

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Candice Nicole Claiborne
Gender	Female
Speciality	Psychologist - Clinical
Location	701 Broad St Ste 350, Rome, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851605083
Provider Enumeration Date: 07/29/2010
Last Update Date: 02/21/2019

Medicare PECOS Information:

PECOS PAC ID: 7618271206
Enrollment ID: I20160202000397

Medical Identifiers

Medical identifiers for Dr Candice Nicole Claiborne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851605083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	(* (Not Available))	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	PSY003955 (Georgia)	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. Dr Candice Nicole Claiborne allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Dr Candice Nicole Claiborne 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
Dr Candice Nicole Claiborne, PHD 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (706) 295-5331	Dr Candice Nicole Claiborne, PHD 701 Broad St Ste 350, Rome, GA 30161-3092 Ph: (706) 295-2028

Reviews and Comments

Psychologist in Rome, GA

Dr. John Azar-dickens, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 E 5th Ave, Rome, GA 30161 Phone: 706-232-6743 Fax: 706-232-8050
Dr. Paul Schlachter, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1345 Redmond Road, Rome, GA 30165 Phone: 910-742-9243 Fax: 888-746-1787
Randell Leon Elkins Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Broad St Ste 350, Rome, GA 30161 Phone: 706-295-2028 Fax: 706-295-2062
Dr. Elizabeth Austin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 E 5th Ave, Rome, GA 30161 Phone: 706-232-8330 Fax: 706-232-8331
Dr. Judith Tutin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 519 Broad St, Suite 202, Rome, GA 30161 Phone: 706-232-5544 Fax: 888-543-1173
Dr. Alice Eleanor Wiener, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 412 E 1st St, Rome, GA 30161 Phone: 706-235-6990 Fax: 706-235-4985
Jason Randolph Dunn, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 701 Broad St, Ste 350, Rome, GA 30161 Phone: 762-235-3640 Fax: 706-295-2062

Dr Candice Nicole Claiborne, PHD - Medicare Psychologist in Rome, GA