Candace Nicole Wallis, - Clinical Social Worker in Coos Bay, OR

Candace Nicole Wallis, is a Social Worker - Clinical based in Coos Bay, Oregon. Candace Nicole Wallis is licensed to practice in Florida (license number 15085) and her current practice location is 125 Central Ave Ste 290, Coos Bay, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 267-2113.

NPI number for Candace Nicole Wallis is 1215691597 and her current mailing address is 1600 Woodland Dr, Coos Bay, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215691597.

Contact Information

Candace Nicole Wallis,
125 Central Ave Ste 290,
Coos Bay, OR 97420-2342
(541) 267-2113
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCandace Nicole Wallis
GenderFemale
SpecialitySocial Worker - Clinical
Location125 Central Ave Ste 290, Coos Bay, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215691597
  • Provider Enumeration Date: 10/24/2021
  • Last Update Date: 10/24/2021

Medical Identifiers

Medical identifiers for Candace Nicole Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215691597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 15085 (Florida)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 Nicole Wallis 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 AddressPractice Location Address
Candace Nicole Wallis,
1600 Woodland Dr,
Coos Bay, OR 97420-2044

Ph: (727) 692-7373
Candace Nicole Wallis,
125 Central Ave Ste 290,
Coos Bay, OR 97420-2342

Ph: (541) 267-2113

Reviews and Comments


Social Worker in Coos Bay, OR

Ms. Toni Wyatt-kirkeby, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1620 Thompson Rd, Coos Bay, OR 97420
Phone: 541-269-2986    Fax: 541-266-8640
Mr. Jeffrey G. Friedman, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420
Phone: 541-269-2986    Fax: 541-269-7987
Kellilynn Bosak, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420
Phone: 541-267-5151    Fax: 541-266-4554
Ms. Denise E. Stuntzner, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420
Phone: 541-267-5151    
Carol J. Embury, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420
Phone: 541-269-2986    Fax: 541-269-7987
Mr. Richard L Bossardt, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2085 Thompson Rd, Coos Bay, OR 97420
Phone: 541-269-5333    Fax: 541-269-5609

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.