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

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



Healthcare Provider's Profile

Full NameMs Kimberly A Kanna
GenderFemale
SpecialitySocial Worker - Clinical
Location910 E San Martin St Ofc 2, Bolivar, Missouri
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1851977953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW.09929480 (Colorado)Secondary
1041C0700XSocial 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 NameSondermind Provider Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210812000440

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Entity NameFree Your Mind Therapy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154001469
PECOS PAC ID: 0143678805
Enrollment ID: O20231120000696

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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. 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 AddressPractice 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

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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    

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