Mrs Candace Moak, MD is a medicare enrolled "Pediatrics" physician in Bernice, Louisiana. Her current practice location is
100 Medical Park Dr Ste A, Bernice, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 285-9066.
Mrs Candace Moak is licensed to practice in Louisiana (license number 14480R) 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 1588634273.
Physician's Profile
| Full Name | Mrs Candace Moak |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 100 Medical Park Dr Ste A, Bernice, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588634273
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 08/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 4981784519
- Enrollment ID: I20100211000373
Medical Identifiers
Medical identifiers for Mrs Candace Moak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588634273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 14480R (Louisiana) | 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 Moak allows following entities to bill medicare on her behalf.
| Entity Name | Green Clinic LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831178755 PECOS PAC ID: 4789668831 Enrollment ID: O20040616000177 |
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| Entity Name | Clhg-ruston LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154012185 PECOS PAC ID: 7315361425 Enrollment ID: O20220718002173 |
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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 Moak 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 |
Mrs Candace Moak, MD 100 Medical Park Dr Ste A, Bernice, LA 71222-3630 Ph: (318) 285-9066 | Mrs Candace Moak, MD 100 Medical Park Dr Ste A, Bernice, LA 71222-3630 Ph: (318) 285-9066 |
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