Dr Candice Elizabeth Whealon, RN, FNP-C in Los Angeles, CA

Dr Candice Elizabeth Whealon, RN, FNP-C is a medicare enrolled "Registered Nurse" in Los Angeles, California. Her current practice location is 11620 Wilshire Blvd Ste 600, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (805) 479-8503.

Dr Candice Elizabeth Whealon is licensed to practice in California (license number 653544) 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 1790830404.

Contact Information

	Dr Candice Elizabeth Whealon, RN, FNP-C
	11620 Wilshire Blvd Ste 600, Los Angeles, CA 90025-1776
	(805) 479-8503
	(310) 362-9240

Map and Direction

Provider's Profile

Full Name	Dr Candice Elizabeth Whealon
Gender	Female
Speciality	Registered Nurse
Location	11620 Wilshire Blvd Ste 600, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790830404
Provider Enumeration Date: 01/24/2007
Last Update Date: 10/27/2025

Medicare PECOS Information:

PECOS PAC ID: 5991938318
Enrollment ID: I20140508001499

Medical Identifiers

Medical identifiers for Dr Candice Elizabeth Whealon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790830404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	23718 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	23718 (California)	Secondary
163W00000X	Registered Nurse	653544 (California)	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 Candice Elizabeth Whealon allows following entities to bill medicare on her behalf.

Entity Name	Providence Facey Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822

Entity Name	University Of California Irvine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431

Entity Name	Regents Of The University Of
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154379394 PECOS PAC ID: 7517869605 Enrollment ID: O20040120001119

Entity Name	Regents Of The University Of
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366590762 PECOS PAC ID: 3779689518 Enrollment ID: O20070510000532

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 Candice Elizabeth Whealon 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 Candice Elizabeth Whealon, RN, FNP-C 11620 Wilshire Blvd Ste 600, Los Angeles, CA 90025-1776 Ph: (805) 479-8503	Dr Candice Elizabeth Whealon, RN, FNP-C 11620 Wilshire Blvd Ste 600, Los Angeles, CA 90025-1776 Ph: (805) 479-8503

Reviews and Comments

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Dr Candice Elizabeth Whealon, RN, FNP-C - Medicare Registered Nurse in Los Angeles, CA