12 N KINGSHIGHWAY
PERRYVILLE, MO 63775 US PECOS Enrolled
Overview
Candace D Fair is a Counselor in the PERRYVILLE area and has over 44 years of experience. Candace D Fair primary office location is at 12 N KINGSHIGHWAY and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1980 The NPI number is 1942317334 and the information was updated approximately 17 years ago.
Candace D Fair is affiliated with one medical group in the PERRYVILLE area, PERRY COUNTY HEALTH SYSTEM.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 005110 | MO |
| Type/Issuer | Identifier | State |
|---|---|---|
| BLUE CROSS | 114540 | MO |
| Taxonomy | State | Primary? |
|---|---|---|
| Counselor - Taxonomy Code 101Y00000X | MO | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20070405000095 |
| PECOS Individual PAC ID: | 7810091550 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
Find information on any health care provider or organization that has an National Provider Identifier, view related providers and organizations as well as referral information when available.
Gain Insights into the network of healthcare.
