Shannon Marie Klock, LCSW in Vernon, CT - Medicare Social Worker Provider

Shannon Marie Klock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Vernon, Connecticut. Her current practice location is 27 Hartford Tpke Ste 207, Vernon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 416-2515.

Shannon Marie Klock is licensed to practice in Connecticut (license number 58.012170) 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 1992449649.

Contact Information

	Shannon Marie Klock, LCSW
	27 Hartford Tpke Ste 207, Vernon, CT 06066-5245
	(860) 416-2515
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Marie Klock
Gender	Female
Speciality	Social Worker - Clinical
Location	27 Hartford Tpke Ste 207, Vernon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992449649
Provider Enumeration Date: 04/27/2022
Last Update Date: 04/27/2022

Medicare PECOS Information:

PECOS PAC ID: 7315314671
Enrollment ID: I20221031001315

Medical Identifiers

Medical identifiers for Shannon Marie Klock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992449649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	58.012170 (Connecticut)	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. Shannon Marie Klock allows following entities to bill medicare on her behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902831548 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000291

Entity Name	Harvest Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477712917 PECOS PAC ID: 9931276979 Enrollment ID: O20080917000499

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. Shannon Marie Klock 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
Shannon Marie Klock, LCSW 110 Collie Brook Rd, East Hampton, CT 06424-1641 Ph: (860) 416-2515	Shannon Marie Klock, LCSW 27 Hartford Tpke Ste 207, Vernon, CT 06066-5245 Ph: (860) 416-2515

Reviews and Comments

Social Worker in Vernon, CT

Tammy Lynn Andrews, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 45 Hartford Tpke, Suite 2, Vernon, CT 06066 Phone: 860-647-8995
Mrs. Rose Mary Drager, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Union St, Vernon, CT 06066 Phone: 860-872-0501 Fax: 860-872-5298
Mrs. Alison Kate Sefton Lewis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 27 Naek Rd, Suite 4, Vernon, CT 06066 Phone: 860-872-9825 Fax: 860-870-9384
Mr. John Francis Hennessey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Elm St, Vernon, CT 06066 Phone: 860-875-0292 Fax: 860-871-4910
Andrew Fontana, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Elm St, Vernon, CT 06066 Phone: 860-872-1918
Michele F Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Union St, Vernon, CT 06066 Phone: 860-872-0501
Mrs. Casey Lynn Smith-speirs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 27 Naek Rd, Suite 4, Vernon, CT 06066 Phone: 860-872-9825 Fax: 860-870-9348

Shannon Marie Klock, LCSW - Medicare Clinical Social Worker in Vernon, CT