Candice Latrice Reynolds, PMHNP-BC, FNP-C - Medicare Nurse Practitioner in Dover, DE

Candice Latrice Reynolds, PMHNP-BC, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dover, Delaware. Her current practice location is 1609 S State St, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 257-3135.

Candice Latrice Reynolds is licensed to practice in Delaware (license number LG-0000531) 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 1457664104.

Contact Information

Candice Latrice Reynolds, PMHNP-BC, FNP-C
1609 S State St,
Dover, DE 19901-5148
(302) 257-3135
(302) 526-2410

Map and Direction




Provider's Profile

Full NameCandice Latrice Reynolds
GenderFemale
SpecialityNurse Practitioner - Family
Location1609 S State St, Dover, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457664104
  • Provider Enumeration Date: 07/23/2010
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143407650
  • Enrollment ID: I20110610000043

Medical Identifiers

Medical identifiers for Candice Latrice Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457664104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AC005517 (Maryland)Secondary
363LF0000XNurse Practitioner - Family APRN9486111 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN9486111 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AC005680 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health L8-0010481 (Delaware)Secondary
363LF0000XNurse Practitioner - Family LG-0000531 (Delaware)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. Candice Latrice Reynolds allows following entities to bill medicare on her behalf.
Entity NameWestside Family Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952303695
PECOS PAC ID: 6800706599
Enrollment ID: O20040716000419
Entity NameNorthnode Group Counseling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003273954
PECOS PAC ID: 1254753114
Enrollment ID: O20200623000078

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. Candice Latrice Reynolds 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
Candice Latrice Reynolds, PMHNP-BC, FNP-C
2139 N University Dr, Pmb 3000,
Coral Springs, FL 33071-6134

Ph: (302) 399-3019
Candice Latrice Reynolds, PMHNP-BC, FNP-C
1609 S State St,
Dover, DE 19901-5148

Ph: (302) 257-3135

Reviews and Comments


Nurse Practitioner Nurses in Dover, DE

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Phone: 302-678-7438    Fax: 302-678-7434

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.