Dr Candace Renee Clocker, MD in South Boston, VA

Dr Candace Renee Clocker, MD is a medicare enrolled "Pediatrics" physician in South Boston, Virginia. Her current practice location is 2100 Wilborn Ave, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 517-8022.

Dr Candace Renee Clocker is licensed to practice in Virginia (license number 0101261852) 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 1841488905.

Contact Information

	Dr Candace Renee Clocker, MD
	2100 Wilborn Ave, South Boston, VA 24592-1628
	(434) 517-8022
	(434) 517-8370

Map and Direction

Physician's Profile

Full Name	Dr Candace Renee Clocker
Gender	Female
Speciality	Pediatrics
Location	2100 Wilborn Ave, South Boston, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841488905
Provider Enumeration Date: 10/12/2007
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 9436330883
Enrollment ID: I20170322000818

Medical Identifiers

Medical identifiers for Dr Candace Renee Clocker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841488905	NPI	-	NPPES
33110	Other	SC	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2013-01833 (North Carolina)	Secondary
261QP2300X	Clinic/center - Primary Care	33110 (South Carolina)	Secondary
208000000X	Pediatrics	0101261852 (Virginia)	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. Dr Candace Renee Clocker allows following entities to bill medicare on her behalf.

Entity Name	Halifax Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588668842 PECOS PAC ID: 4587572805 Enrollment ID: O20040607000050

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. Dr Candace Renee Clocker 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
Dr Candace Renee Clocker, MD 2100 Wilborn Ave, South Boston, VA 24592-1628 Ph: (434) 517-8022	Dr Candace Renee Clocker, MD 2100 Wilborn Ave, South Boston, VA 24592-1628 Ph: (434) 517-8022

Reviews and Comments

Pediatrics Doctors in South Boston, VA

Maria Precious Tangan Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022 Fax: 434-517-8022
Samantha Y King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-575-1336 Fax: 434-575-1349
Akpomevigho A Avbovbo, Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022
Nonna Lyn M Ebalo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063

Dr Candace Renee Clocker, MD - Medicare Pediatrics in South Boston, VA