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

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 NameShannon Marie Klock
GenderFemale
SpecialitySocial Worker - Clinical
Location27 Hartford Tpke Ste 207, Vernon, Connecticut
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1992449649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial 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 NameState Of Connecticut
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902831548
PECOS PAC ID: 8022915677
Enrollment ID: O20040319000291
Entity NameHarvest Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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.