Mrs Candace Lynn Tillery, LMSW, CAADC, SAP is a medicare enrolled "Social Worker - Clinical" provider in Lansing, Michigan. She graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
3721 W Michigan Ave Ste 200, Lansing, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 515-6176.
Mrs Candace Lynn Tillery is licensed to practice in Michigan (license number 6801099467) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114389301.
Healthcare Provider's Profile
| Full Name | Mrs Candace Lynn Tillery |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 3721 W Michigan Ave Ste 200, Lansing, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Candace Lynn Tillery graduated from medical school in 2016
NPI Data:
- NPI Number: 1114389301
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587911755
- Enrollment ID: I20180718003493
Medical Identifiers
Medical identifiers for Mrs Candace Lynn Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114389301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-03445 (Michigan) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801099467 (Michigan) | 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. Mrs Candace Lynn Tillery allows following entities to bill medicare on her behalf.
| Entity Name | Innovative Behavioral Solutions |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396128088
PECOS PAC ID: 2365709987
Enrollment ID: O20171206000988 |
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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. Mrs Candace Lynn Tillery 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 |
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Mrs Candace Lynn Tillery, LMSW, CAADC, SAP
3721 W Michigan Ave Ste 200,
Lansing, MI 48917-3600
Ph: (517) 515-6176 | Mrs Candace Lynn Tillery, LMSW, CAADC, SAP
3721 W Michigan Ave Ste 200,
Lansing, MI 48917-3600
Ph: (517) 515-6176 |
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