Candace Clark, - Medicare Clinical Social Worker in Blue Island, IL

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Candace Clark, is a medicare enrolled "Social Worker - Clinical" provider in Blue Island, Illinois. Her current practice location is 13136 Western Ave, Blue Island, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 974-5864.

Candace Clark is licensed to practice in * (Not Available) (license number ) 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 1619534203.

Contact Information

Candace Clark,
13136 Western Ave,
Blue Island, IL 60406-2423
(708) 974-5864
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCandace Clark
GenderFemale
SpecialitySocial Worker - Clinical
Location13136 Western Ave, Blue Island, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619534203
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 12/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638525975
  • Enrollment ID: I20231024000517

Medical Identifiers

Medical identifiers for Candace Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619534203NPI-NPPES
362167940MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))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. Candace Clark allows following entities to bill medicare on her behalf.
Entity NameClarity Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063803856
PECOS PAC ID: 7517284755
Enrollment ID: O20150326001469
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220414000139

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 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 AddressPractice Location Address
Candace Clark,
10534 S Walden Pkwy,
Chicago, IL 60643-2623

Ph: (708) 829-0179		Candace Clark,
13136 Western Ave,
Blue Island, IL 60406-2423

Ph: (708) 974-5864

Reviews and Comments


Social Worker in Blue Island, IL

Ms. Juliet Ann Russom Walden, BS, AM, LSCW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 13136 Western Ave, Blue Island, IL 60406
Phone: 708-974-5800    
Amanda Keenan, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 3046 127th St, Blue Island, IL 60406
Phone: 708-377-7920    Fax: 708-930-0414
Kristen Hofman, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 13136 Western Ave, Blue Island, IL 60406
Phone: 708-974-5800    
Jessica Null, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12331 Gregory St, Blue Island, IL 60406
Phone: 708-489-7338    
Mr. George Fay Henry Jr., LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12311 Meadow Ln, Unit 1b, Blue Island, IL 60406
Phone: 312-504-5560    
Mr. Leo W Lavender,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 13811 Western Ave, Blue Island, IL 60406
Phone: 773-552-4120    

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.