Katelyn Root, in Portage, MI - Medicare Social Worker Provider

Katelyn Root, is a medicare enrolled "Social Worker - Clinical" provider in Portage, Michigan. Her current practice location is 640 Romence Rd Ste 211a, Portage, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 588-0669.

Katelyn Root is licensed to practice in Michigan (license number 6801101103) 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 1023597267.

Contact Information

	Katelyn Root,
	640 Romence Rd Ste 211a, Portage, MI 49024-3400
	(269) 588-0669
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katelyn Root
Gender	Female
Speciality	Social Worker - Clinical
Location	640 Romence Rd Ste 211a, Portage, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023597267
Provider Enumeration Date: 08/08/2018
Last Update Date: 11/30/2020

Medicare PECOS Information:

PECOS PAC ID: 5698151785
Enrollment ID: I20220927001450

Medical Identifiers

Medical identifiers for Katelyn Root such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023597267	NPI	-	NPPES
6801101103	Other	MI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801101103 (Michigan)	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. Katelyn Root allows following entities to bill medicare on her behalf.

Entity Name	Kalamazoo County Community Mental Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710066253 PECOS PAC ID: 5890730337 Enrollment ID: O20050624000176

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. Katelyn Root 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
Katelyn Root, 640 Romence Rd Ste 211a, Portage, MI 49024-3400 Ph: (269) 588-1441	Katelyn Root, 640 Romence Rd Ste 211a, Portage, MI 49024-3400 Ph: (269) 588-0669

Reviews and Comments

Social Worker in Portage, MI

Carol A Harvey, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6100 Newport Rd Ste 222, Portage, MI 49002 Phone: 269-488-5929 Fax: 833-599-7700
Mrs. Bethany Joy Adams, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-760-2083
Ms. Deborah Elizabeth Search Willoughby, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1398 Palmetto Dr, Portage, MI 49002 Phone: 269-327-7472
Katherine Bell, LMSW, IMH-E (III) Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5805 Oakland Dr, Portage, MI 49024 Phone: 269-323-1954
Mrs. Berit G Benson, LCSW-S, PMH-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1125 E Milham Ave Ste B, Portage, MI 49002 Phone: 269-312-1446 Fax: 269-225-6949
Molly B Lininger, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1125 E Milham Ave Ste B, Portage, MI 49002 Phone: 269-312-1446 Fax: 269-775-1079

Katelyn Root, - Medicare Clinical Social Worker in Portage, MI