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



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 Health8426957523209

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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

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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. 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

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Optometrist in Ada, OK

Elliott Vision Care, Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1139 N Hills Ctr, Ada, OK 74820
Phone: 580-332-6000    Fax: 580-332-6006
Courtney K Bratton, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 500 N Monte Vista St, Suite 3, Ada, OK 74820
Phone: 580-272-9600    Fax: 580-272-9602
Advanced Eye Care Associates
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1433 Arlington St, Ada, OK 74820
Phone: 580-332-5606    Fax: 580-332-3946
Travis W Thompson,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    
Dr. Julie Kaylynn Wolfe, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6293
Derek Gurley, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1433 Arlington St, Ada, OK 74820
Phone: 580-436-5606    
Mrs. Stacy G Presley, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1433 Arlington St, Ada, OK 74820
Phone: 580-332-5606    Fax: 580-332-3946

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