Kandice King, in Silver Spring, MD - Medicare Nurse Practitioner

Kandice King, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Silver Spring, Maryland. Her current practice location is 11941 Bournefield Way, Silver Spring, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 331-7992.

Kandice King is licensed to practice in Maryland (license number R210943) 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 1174253850.

Contact Information

	Kandice King,
	11941 Bournefield Way, Silver Spring, MD 20904-7821
	(240) 331-7992
	(773) 409-8611

Map and Direction

Provider's Profile

Full Name	Kandice King
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11941 Bournefield Way, Silver Spring, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174253850
Provider Enumeration Date: 06/15/2022
Last Update Date: 04/30/2025

Medicare PECOS Information:

PECOS PAC ID: 4284151465
Enrollment ID: I20250512000476

Medical Identifiers

Medical identifiers for Kandice King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174253850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R210943 (Maryland)	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. Kandice King allows following entities to bill medicare on her behalf.

Entity Name	Axis Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20081013000520

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. Kandice King 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
Kandice King, 3552 Tribeca Trl, Laurel, MD 20724-1444 Ph: (443) 285-1631	Kandice King, 11941 Bournefield Way, Silver Spring, MD 20904-7821 Ph: (240) 331-7992

Reviews and Comments

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Kandice King, - Medicare Nurse Practitioner in Silver Spring, MD