Candice Vicencio, FNP | |
1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 | |
(815) 397-8400 | |
Not Available |
Full Name | Candice Vicencio |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1235 N Mulford Rd Ste 222, Rockford, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003442880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209020086 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Swedish American Hospital | Rockford, IL | Hospital |
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Pain Management Services, Ltd. | 4284693755 | 5 |
Swedishamerican Hospital | 5799698346 | 273 |
Entity Name | Swedishamerican Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
Entity Name | Medical Pain Management Services, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447276480 PECOS PAC ID: 4284693755 Enrollment ID: O20041008001112 |
Mailing Address | Practice Location Address |
---|---|
Candice Vicencio, FNP 2202 Harlem Rd Ste 200, Loves Park, IL 61111-2754 Ph: (815) 877-4848 | Candice Vicencio, FNP 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 Ph: (815) 397-8400 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574 | |
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433 |