Kimberlee Lockwood Cannon, LISW-CP in Columbia, SC - Medicare Social Worker Provider

Kimberlee Lockwood Cannon, LISW-CP is a medicare enrolled "Social Worker" provider in Columbia, South Carolina. Her current practice location is 2711 Colonial Dr, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 726-9460.

Kimberlee Lockwood Cannon is licensed to practice in South Carolina (license number 11700) 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 1538517248.

Contact Information

	Kimberlee Lockwood Cannon, LISW-CP
	2711 Colonial Dr, Columbia, SC 29203-6818
	(803) 726-9460
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberlee Lockwood Cannon
Gender	Female
Speciality	Social Worker
Location	2711 Colonial Dr, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538517248
Provider Enumeration Date: 06/03/2016
Last Update Date: 06/16/2020

Medicare PECOS Information:

PECOS PAC ID: 8527326297
Enrollment ID: I20210723000592

Medical Identifiers

Medical identifiers for Kimberlee Lockwood Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538517248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
104100000X	Social Worker	11700 (South Carolina)	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. Kimberlee Lockwood Cannon allows following entities to bill medicare on her behalf.

Entity Name	Lexington Richland Alcohol & Drug Abuse Council, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538153069 PECOS PAC ID: 3577643170 Enrollment ID: O20171211002777

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. Kimberlee Lockwood Cannon 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
Kimberlee Lockwood Cannon, LISW-CP 2711 Colonial Dr, Columbia, SC 29203-6818 Ph: () -	Kimberlee Lockwood Cannon, LISW-CP 2711 Colonial Dr, Columbia, SC 29203-6818 Ph: (803) 726-9460

Reviews and Comments

Social Worker in Columbia, SC

Martrisha Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Executive Pointe Blvd Ste 104, Columbia, SC 29210 Phone: 855-284-7483
Mr. Addison Ronald Richardson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 Broad River Rd, Columbia, SC 29212 Phone: 803-896-9421 Fax: 803-896-9588
Jacqueline Hartley Dunning, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Stuart St, Columbia, SC 29207 Phone: 803-751-3005
Robert Shawn Diggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000
Eric Wayne Powell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2712 Middleburg Dr, Columbia, SC 29204 Phone: 803-851-1923 Fax: 803-851-1922
Stephanie Butler, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844 Fax: 803-939-2646
Keith J Jones, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3201 Trenholm Rd, Columbia, SC 29204 Phone: 803-787-2306 Fax: 803-790-6554

Kimberlee Lockwood Cannon, LISW-CP - Medicare Clinical Social Worker in Columbia, SC