Mary Elizabeth Cannon, LCSW in San Antonio, TX - Medicare Social Worker Provider

Mary Elizabeth Cannon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Antonio, Texas. Her current practice location is 4203 Woodcock Dr Ste 216, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 564-9116.

Mary Elizabeth Cannon is licensed to practice in Texas (license number 58351) 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 1700343530.

Contact Information

	Mary Elizabeth Cannon, LCSW
	4203 Woodcock Dr Ste 216, San Antonio, TX 78228-1312
	(210) 564-9116
	(210) 564-9087

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Elizabeth Cannon
Gender	Female
Speciality	Social Worker - Clinical
Location	4203 Woodcock Dr Ste 216, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700343530
Provider Enumeration Date: 02/28/2019
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4284974791
Enrollment ID: I20190320001444

Medical Identifiers

Medical identifiers for Mary Elizabeth Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700343530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	58351 (Texas)	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. Mary Elizabeth Cannon allows following entities to bill medicare on her behalf.

Entity Name	Progressive Behavioral Health, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763

Entity Name	Pnuema Stance Mind Care And Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013540228 PECOS PAC ID: 7618419953 Enrollment ID: O20240603000980

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. Mary Elizabeth 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
Mary Elizabeth Cannon, LCSW 2504 Montague County Dr, Killeen, TX 76549-1609 Ph: (254) 383-3421	Mary Elizabeth Cannon, LCSW 4203 Woodcock Dr Ste 216, San Antonio, TX 78228-1312 Ph: (210) 564-9116

Reviews and Comments

Social Worker in San Antonio, TX

Ms. Nadine Louise Garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6522 Camp Bullis Rd Apt 5203, San Antonio, TX 78256 Phone: 210-394-4868
Mr. Elliot Joseph Cruz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, 7100, San Antonio, TX 78229 Phone: 210-216-2739
Ms. Lynette Edens Hutchins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25026 Summit Crk, San Antonio, TX 78258 Phone: 210-325-0660
Mrs. Rebecca May Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2130 Ne Loop 410 Ste 100, San Antonio, TX 78217 Phone: 210-656-7177
Melissa D Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7526 Louis Pasteur Dr, #318, San Antonio, TX 78229 Phone: 210-450-6450
Karen C Keating, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4203 Woodcock Dr Ste 216, San Antonio, TX 78228 Phone: 210-564-9116 Fax: 210-564-9087
Kevin Lynch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 Medical Dr. 40314, San Antonio, TX 78229 Phone: 210-367-6904

Mary Elizabeth Cannon, LCSW - Medicare Clinical Social Worker in San Antonio, TX