Michael A Candreva, OD is a medicare enrolled "Optometrist" provider in Fort Yates, North Dakota. His current practice location is
10 N River Road, Fort Yates, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 854-8248.
Michael A Candreva is licensed to practice in Colorado (license number CO1796) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346388915.
Healthcare Provider's Profile
| Full Name | Michael A Candreva |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 10 N River Road, Fort Yates, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346388915
- Provider Enumeration Date: 02/03/2007
- Last Update Date: 08/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 5193703437
- Enrollment ID: I20040712001442
Medical Identifiers
Medical identifiers for Michael A Candreva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346388915 | NPI | - | NPPES |
| 5540010 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | CO1796 (Colorado) | 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. Michael A Candreva allows following entities to bill medicare on his behalf.
| Provider Name | Fort Yates Indian Health Service Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609851039
PECOS PAC ID: 3678462744
Enrollment ID: O20040315001479 |
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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. Michael A Candreva 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 |
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Michael A Candreva, OD
N 10 River Road,
Fort Yates, ND 58538
Ph: (701) 854-8248 | Michael A Candreva, OD
10 N River Road,
Fort Yates, ND 58538
Ph: (701) 854-8248 |
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