Mrs Candice M Killeen, CNM in Rogers, AR - Medicare Advanced Practice Midwife

Mrs Candice M Killeen, CNM is a medicare enrolled "Advanced Practice Midwife" in Rogers, Arkansas. Her current practice location is 214 S 1st St Ste 203, Rogers, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 935-3322.

Mrs Candice M Killeen is licensed to practice in Arkansas (license number 219646) 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 1194423327.

Contact Information

	Mrs Candice M Killeen, CNM
	214 S 1st St Ste 203, Rogers, AR 72756-4504
	(479) 935-3322
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Candice M Killeen
Gender	Female
Speciality	Advanced Practice Midwife
Location	214 S 1st St Ste 203, Rogers, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194423327
Provider Enumeration Date: 02/16/2023
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1759805856
Enrollment ID: I20250410001604

Medical Identifiers

Medical identifiers for Mrs Candice M Killeen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194423327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	219646 (Arkansas)	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 Candice M Killeen allows following entities to bill medicare on her behalf.

Entity Name	St. Francis House Nwa, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336986785 PECOS PAC ID: 0042262495 Enrollment ID: O20220527002133

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 Candice M Killeen 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 Candice M Killeen, CNM 10748 W High Meadows Dr, Rogers, AR 72756-8953 Ph: (479) 595-5484	Mrs Candice M Killeen, CNM 214 S 1st St Ste 203, Rogers, AR 72756-4504 Ph: (479) 935-3322

Reviews and Comments

Advanced Practice Midwife Nurses in Rogers, AR

Miss Hope Allyson Ballentine, RN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1233 West Poplar Street, Rogers, AR 72756 Phone: 479-636-9235 Fax: 479-631-0374
Mrs. Leslie Rachel Mccormack, CNM APN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5302 Village Pkwy, Suite 3, Rogers, AR 72758 Phone: 479-372-4560 Fax: 501-712-4530
Phebe Joy Granderson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 214 S 1st St Ste 203, Rogers, AR 72756 Phone: 479-935-3392 Fax: 866-441-1301
Katie Mohlman, APRN-C, WHNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1222 W. Poplar, Rogers, AR 72756 Phone: 479-337-5307 Fax: 479-337-5302
Lydia Flikkema, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5302 W Village Pkwy Ste 3, Rogers, AR 72758 Phone: 479-282-2737

Mrs Candice M Killeen, CNM - Medicare Advanced Practice Midwife in Rogers, AR