Mrs Kelly Clare Canzone, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Stanhope, New Jersey. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
8 W Lake Dr, Stanhope, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 691-3030.
Mrs Kelly Clare Canzone is licensed to practice in New Jersey (license number 44SC05283700) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316992977.
Healthcare Provider's Profile
Full Name | Mrs Kelly Clare Canzone |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 24 Years |
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Location | 8 W Lake Dr, Stanhope, New Jersey |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kelly Clare Canzone graduated from medical school in 2000
NPI Data:
- NPI Number: 1316992977
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 03/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 1052629854
- Enrollment ID: I20150928002597
Medical Identifiers
Medical identifiers for Mrs Kelly Clare Canzone such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316992977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 44SC05283700 (New Jersey) | 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. Mrs Kelly Clare Canzone allows following entities to bill medicare on her behalf.
Entity Name | Tri-county Behavioral Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497141154 PECOS PAC ID: 0143538942 Enrollment ID: O20150928002467 |
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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. Mrs Kelly Clare Canzone 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 |
Mrs Kelly Clare Canzone, LCSW 8 W Lake Dr, Stanhope, NJ 07874-3018 Ph: (201) 400-7702 | Mrs Kelly Clare Canzone, LCSW 8 W Lake Dr, Stanhope, NJ 07874-3018 Ph: (973) 691-3030 |
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