Ms Kelli D Canada, LCSW in Mattoon, IL - Medicare Social Worker Provider

Ms Kelli D Canada, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mattoon, Illinois. Her current practice location is 911 Remington Rd Ste B, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 234-3091.

Ms Kelli D Canada is licensed to practice in Illinois (license number 149019506) 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 1336664705.

Contact Information

	Ms Kelli D Canada, LCSW
	911 Remington Rd Ste B, Mattoon, IL 61938-4210
	(217) 234-3091
	(217) 543-2548

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelli D Canada
Gender	Female
Speciality	Social Worker - Clinical
Location	911 Remington Rd Ste B, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336664705
Provider Enumeration Date: 08/07/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1052677986
Enrollment ID: I20171109002064

Medical Identifiers

Medical identifiers for Ms Kelli D Canada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336664705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149019506 (Illinois)	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. Ms Kelli D Canada allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

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. Ms Kelli D Canada 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
Ms Kelli D Canada, LCSW 911 Remington Rd Ste B, Mattoon, IL 61938-4210 Ph: (217) 234-3091	Ms Kelli D Canada, LCSW 911 Remington Rd Ste B, Mattoon, IL 61938-4210 Ph: (217) 234-3091

Reviews and Comments

Social Worker in Mattoon, IL

Mrs. Rachel L Duhamell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Theresa Mai Ditchfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 N 21st St, Mattoon, IL 61938 Phone: 910-987-9296
Jessica L. Kleiss, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Rachel Stuckey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 800-454-4055
Mrs. Hillarie Mieure, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Terra Lynn Ogle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767

Ms Kelli D Canada, LCSW - Medicare Clinical Social Worker in Mattoon, IL