Katie Dominique Sammon, LCSW in Sullivan, MO - Medicare Social Worker Provider

Katie Dominique Sammon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Sullivan, Missouri. Her current practice location is 101 Progress Pkwy, Sullivan, Missouri. You can reach out to her office (for appointments etc.) via phone at (888) 403-1071.

Katie Dominique Sammon is licensed to practice in Missouri (license number 2020009398) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407470537.

Contact Information

	Katie Dominique Sammon, LCSW
	101 Progress Pkwy, Sullivan, MO 63080-2359
	(888) 403-1071
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katie Dominique Sammon
Gender	Female
Speciality	Social Worker - Clinical
Location	101 Progress Pkwy, Sullivan, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407470537
Provider Enumeration Date: 06/04/2020
Last Update Date: 06/04/2020

Medicare PECOS Information:

PECOS PAC ID: 4981025467
Enrollment ID: I20200609002969

Medical Identifiers

Medical identifiers for Katie Dominique Sammon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407470537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2020009398 (Missouri)	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. Katie Dominique Sammon allows following entities to bill medicare on her behalf.

Entity Name	Compass Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955

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. Katie Dominique Sammon 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
Katie Dominique Sammon, LCSW 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131	Katie Dominique Sammon, LCSW 101 Progress Pkwy, Sullivan, MO 63080-2359 Ph: (888) 403-1071

Reviews and Comments

Social Worker in Sullivan, MO

Christopher Lloyd Jeffrey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000
Aleta Diane Beaty, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 888-403-1071
Brittney Renee Haymer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 844-853-8937
Sharon M Jackson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 673-860-6000 Fax: 573-860-6016

Katie Dominique Sammon, LCSW - Medicare Clinical Social Worker in Sullivan, MO