Mrs Samantha Cannon, MSW in Tulsa, OK - Medicare Clinical Social Worker Provider

Mrs Samantha Cannon, MSW is a medicare enrolled "Counselor" provider in Tulsa, Oklahoma. She graduated from healthcare school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 3015 E Skelly Dr, Ste. 103, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 712-0859.

Mrs Samantha Cannon is licensed to practice in * (Not Available) (license number ) 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 1063841419.

Contact Information

	Mrs Samantha Cannon, MSW
	3015 E Skelly Dr, Ste. 103, Tulsa, OK 74105-6317
	(918) 712-0859
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Samantha Cannon
Gender	Female
Speciality	Clinical Social Worker
Experience	13 Years
Location	3015 E Skelly Dr, Tulsa, Oklahoma
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 Samantha Cannon graduated from medical school in 2012

NPI Data:

NPI Number: 1063841419
Provider Enumeration Date: 11/06/2013
Last Update Date: 11/06/2013

Medicare PECOS Information:

PECOS PAC ID: 7517247422
Enrollment ID: I20161212001765

Medical Identifiers

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

Identifier	Type	State	Issuer
1063841419	NPI	-	NPPES
100746170G	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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 Samantha Cannon allows following entities to bill medicare on her behalf.

Entity Name	Reverence Counseling & Consulting
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346874203 PECOS PAC ID: 0446681449 Enrollment ID: O20200506003329

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 Samantha 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
Mrs Samantha Cannon, MSW 3015 E Skelly Dr, Ste. 103, Tulsa, OK 74105-6317 Ph: () -	Mrs Samantha Cannon, MSW 3015 E Skelly Dr, Ste. 103, Tulsa, OK 74105-6317 Ph: (918) 712-0859

Reviews and Comments

Counselor in Tulsa, OK

Mr. Brian Eugene Abraham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 S Sheridan Rd, Suite 510, Tulsa, OK 74145 Phone: 918-384-0002 Fax: 918-384-0004
Felicia Fagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1870 S Boulder Ave, Tulsa, OK 74119 Phone: 918-585-1213 Fax: 918-585-1263
Kacy Leigh Duvall, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 S Boston Ave, Suite 1, Tulsa, OK 74119 Phone: 918-561-6000 Fax: 918-561-6001
Mr. Daren Hildreth, MAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 E 31st Pl N, Tulsa, OK 74110 Phone: 918-794-8106
Latisha Fuller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 S Utica Ave Apt 4, Tulsa, OK 74105 Phone: 918-734-5259
Todd J Smetana, LPC-UNDER SUPERVISIO Counselor Medicare: Medicare Enrolled Practice Location: 5550 S Garnett Rd, Tulsa, OK 74146 Phone: 918-665-6501 Fax: 918-665-3966
Marah Leigh Pense, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2448 E 81st St, Suite 5125, Tulsa, OK 74137 Phone: 918-392-7875

Mrs Samantha Cannon, MSW - Medicare Counselor in Tulsa, OK