NPI Details
DR. Candyce A. Lucian, D.O. is a family medicine in Conneaut Lake, PA with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Candyce A. Lucian, D.O. NPI is 1871596429. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1989
The provider's business location address is:
8508 STATE HIGHWAY 285
CONNEAUT LAKE, PA
ZIP 16316-120
Phone: (814) 382-5703
Fax: (814) 382-5707
The NPI 1871596429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 39D0880202 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Annual depression screening, 15 minutes (HCPCS:G0444)
The enumeration date for this NPI number is 5/27/2005 and was last updated on 2/27/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 208D00000X | General Practice | | OS007300E | PENNSYLVANIA | No |
| 2 | 207Q00000X | Family Medicine | | OS007300E | PENNSYLVANIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 103660 | OTHER | PENNSYLVANIA | UNISON HEALTH PLAN |
| 2 | 4235190002 | OTHER | PENNSYLVANIA | NATIONAL SUPPLIERS CLEARINGHOUSE |
| 3 | 080074403 | OTHER | PENNSYLVANIA | PALMETTO GBA-RAILROAD MEDICARE |
| 4 | E70807 | OTHER | PENNSYLVANIA | HEALTH AMERICA |
| 5 | 0012221840003 | MEDICAID | PENNSYLVANIA | |
| 6 | 902543 | OTHER | PENNSYLVANIA | HIGHMARK BLUE CROSS BLUE SHIELD |
| 7 | 205088 | OTHER | PENNSYLVANIA | UPMC HEALTH PLAN |
| 8 | 251754199019 | OTHER | PENNSYLVANIA | MEDICAL MUTUAL OF OHIO |
