Candis Clark, OD - Medicare Optometrist in Ada, OK

Candis Clark, OD is a medicare enrolled "Optometrist" provider in Ada, Oklahoma. She went to University Of Missouri St Louis - School Of Optometry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Chickasaw Nation Division Of Health and her current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-3980.

Candis Clark is licensed to practice in Missouri (license number 2018019397) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235623570.

Contact Information

Candis Clark, OD
1921 Stonecipher Dr,
Ada, OK 74820-3439
(580) 436-3980
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCandis Clark
GenderFemale
SpecialityOptometry
Experience6 Years
Location1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Candis Clark attended and graduated from University Of Missouri St Louis - School Of Optometry in 2018
  NPI Data:
  • NPI Number: 1235623570
  • Provider Enumeration Date: 06/20/2018
  • Last Update Date: 02/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971859653
  • Enrollment ID: I20180711001016

Medical Identifiers

Medical identifiers for Candis Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235623570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2018019397 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chickasaw Nation Medical CenterAda, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chickasaw Nation Division Of Health8426957523189

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. Candis Clark allows following entities to bill medicare on her behalf.
Provider NameChickasaw Nation Division Of Health
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1255364923
PECOS PAC ID: 8426957523
Enrollment ID: O20040108000364

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. Candis Clark 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 AddressPractice Location Address
Candis Clark, OD
1921 Stonecipher Dr,
Ada, OK 74820-3439

Ph: (580) 436-3980
Candis Clark, OD
1921 Stonecipher Dr,
Ada, OK 74820-3439

Ph: (580) 436-3980

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.