Candyce Frey, is a medicare enrolled "Nurse Practitioner" physician in Alton, Illinois. Her current practice location is
4414 W Center Dr, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 628-8211.
Candyce Frey is licensed to practice in Illinois (license number 209.031860) 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 1881494086.
Physician's Profile
| Full Name | Candyce Frey |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 4414 W Center Dr, Alton, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881494086
- Provider Enumeration Date: 03/17/2025
- Last Update Date: 04/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567989163
- Enrollment ID: I20250507001780
Medical Identifiers
Medical identifiers for Candyce Frey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881494086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 209.031860 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209.031860 (Illinois) | 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. Candyce Frey allows following entities to bill medicare on her behalf.
| Entity Name | Apg Network, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538860200
PECOS PAC ID: 6103264510
Enrollment ID: O20240404001660 |
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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. Candyce Frey 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 |
|---|
Candyce Frey,
916 Talon Dr,
O Fallon, IL 62269-1848
Ph: (618) 628-8211 | Candyce Frey,
4414 W Center Dr,
Alton, IL 62002-5932
Ph: (618) 628-8211 |
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