Ms Kelli D Canada, LCSW - Medicare Clinical Social Worker in Mattoon, IL

Ms Kelli D Canada, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mattoon, Illinois. Her current practice location is 911 Remington Rd Ste B, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 234-3091.

Ms Kelli D Canada is licensed to practice in Illinois (license number 149019506) 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 1336664705.

Contact Information

Ms Kelli D Canada, LCSW
911 Remington Rd Ste B,
Mattoon, IL 61938-4210
(217) 234-3091
(217) 543-2548

Map and Direction




Healthcare Provider's Profile

Full NameMs Kelli D Canada
GenderFemale
SpecialitySocial Worker - Clinical
Location911 Remington Rd Ste B, Mattoon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336664705
  • Provider Enumeration Date: 08/07/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052677986
  • Enrollment ID: I20171109002064

Medical Identifiers

Medical identifiers for Ms Kelli D Canada such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336664705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149019506 (Illinois)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 Kelli D Canada allows following entities to bill medicare on her behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641

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 Kelli D Canada 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 Kelli D Canada, LCSW
911 Remington Rd Ste B,
Mattoon, IL 61938-4210

Ph: (217) 234-3091
Ms Kelli D Canada, LCSW
911 Remington Rd Ste B,
Mattoon, IL 61938-4210

Ph: (217) 234-3091

Reviews and Comments


Social Worker in Mattoon, IL

Mrs. Rachel L Duhamell, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 750 Broadway Ave E, Mattoon, IL 61938
Phone: 217-238-5700    Fax: 217-238-5767
Theresa Mai Ditchfield, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 717 N 21st St, Mattoon, IL 61938
Phone: 910-987-9296    
Jessica L. Kleiss, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 750 Broadway Ave E, Mattoon, IL 61938
Phone: 217-238-5700    Fax: 217-238-5767
Rachel Stuckey, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 800-454-4055    
Mrs. Hillarie Mieure, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 750 Broadway Ave E, Mattoon, IL 61938
Phone: 217-238-5700    Fax: 217-238-5767
Terra Lynn Ogle, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 750 Broadway Ave E, Mattoon, IL 61938
Phone: 217-238-5700    Fax: 217-238-5767

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.