Marisa Cannon, LMSW in Commerce Township, MI - Medicare Social Worker Provider

Marisa Cannon, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Commerce Township, Michigan. Her current practice location is 2000 E Oakley Park Rd, Commerce Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 559-3540.

Marisa Cannon is licensed to practice in Michigan (license number 6801116329) 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 1427747120.

Contact Information

	Marisa Cannon, LMSW
	2000 E Oakley Park Rd, Commerce Township, MI 48390-1500
	(734) 559-3540
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marisa Cannon
Gender	Female
Speciality	Social Worker - Clinical
Location	2000 E Oakley Park Rd, Commerce Township, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427747120
Provider Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 5092173641
Enrollment ID: I20230614002077

Medical Identifiers

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

Identifier	Type	State	Issuer
1427747120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801116329 (Michigan)	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. Marisa Cannon allows following entities to bill medicare on her behalf.

Entity Name	Transformational Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780090258 PECOS PAC ID: 8820219322 Enrollment ID: O20141027001839

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. Marisa 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
Marisa Cannon, LMSW 9409 N Haggerty Rd, Plymouth, MI 48170-4696 Ph: (734) 559-3540	Marisa Cannon, LMSW 2000 E Oakley Park Rd, Commerce Township, MI 48390-1500 Ph: (734) 559-3540

Reviews and Comments

Social Worker in Commerce Township, MI

Sylvia Gray, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16201 Caitlin Cir, Commerce Township, MI 48390 Phone: 248-981-7274
Mrs. Pamela J Bartos, LMSW, CAADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2045 E West Maple Rd, Suite D-407, Commerce Township, MI 48390 Phone: 248-624-3812 Fax: 248-624-0368
Melanie Ann Watson, LMSW, NAFC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2045 E West Maple Rd, Suite D-407, Commerce Township, MI 48390 Phone: 248-624-3812 Fax: 248-624-0368
Ellen Kauders Starr, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2045 E West Maple Rd, Suite D-407, Commerce Township, MI 48390 Phone: 248-624-3811 Fax: 248-624-0368
Shaina Marie Simmons, LCMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2106 Trailway Ct, Commerce Township, MI 48390 Phone: 517-281-6716
Nicole Denise Dorrell, LMSW CTP-C CSTIP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2000 E Oakley Park Rd Ste 201, Commerce Township, MI 48390 Phone: 734-559-3540
Sheri Levenson Stav, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8691 Edgewood Park Dr, Commerce Township, MI 48382 Phone: 248-388-2128

Marisa Cannon, LMSW - Medicare Clinical Social Worker in Commerce Township, MI