Ms Kimberly A Kanna, MSW, LCSW in Bolivar, MO - Medicare Social Worker Provider

Ms Kimberly A Kanna, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bolivar, Missouri. Her current practice location is 910 E San Martin St Ofc 2, Bolivar, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 414-0676.

Ms Kimberly A Kanna is licensed to practice in Missouri (license number 2023017145) 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 1851977953.

Contact Information

	Ms Kimberly A Kanna, MSW, LCSW
	910 E San Martin St Ofc 2, Bolivar, MO 65613-2893
	(417) 414-0676
	(844) 222-4909

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kimberly A Kanna
Gender	Female
Speciality	Social Worker - Clinical
Location	910 E San Martin St Ofc 2, Bolivar, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851977953
Provider Enumeration Date: 03/20/2021
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9638536196
Enrollment ID: I20230530000421

Medical Identifiers

Medical identifiers for Ms Kimberly A Kanna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851977953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW.09929480 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	2023017145 (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. Ms Kimberly A Kanna allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230214000447

Entity Name	Free Your Mind Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154001469 PECOS PAC ID: 0143678805 Enrollment ID: O20231120000696

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 Kimberly A Kanna 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 Kimberly A Kanna, MSW, LCSW 910 E San Martin St Ofc 2, Bolivar, MO 65613-2893 Ph: (417) 414-0676	Ms Kimberly A Kanna, MSW, LCSW 910 E San Martin St Ofc 2, Bolivar, MO 65613-2893 Ph: (417) 414-0676

Reviews and Comments

Social Worker in Bolivar, MO

Regina Russell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 S Main Ave, Bolivar, MO 65613 Phone: 417-326-2902 Fax: 417-326-4555
Mr. Justin Lee Johns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 E San Martin St, Bolivar, MO 65613 Phone: 417-501-6138
Ashley M Batson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-7468
William Everett Hafer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 Phone: 417-326-7272 Fax: 714-326-2193
Tommie L Miller, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1209 Kemp Dr, Bolivar, MO 65613 Phone: 417-326-2579 Fax: 417-326-2579
Rachel Grainger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-7676
Donna M Griffin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1600 N. Oakland, Bolivar, MO 65613 Phone: 417-326-6000

Ms Kimberly A Kanna, MSW, LCSW - Medicare Clinical Social Worker in Bolivar, MO