Kimberly H Fortin, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Weedsport, New York. Her current practice location is
2693 East Brutus Street, Weedsport, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 834-2014.
Kimberly H Fortin is licensed to practice in New York (license number 076593) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215046123.
Healthcare Provider's Profile
Full Name | Kimberly H Fortin |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2693 East Brutus Street, Weedsport, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kimberly H Fortin attended and graduated from in
NPI Data:
- NPI Number: 1215046123
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 12/03/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kimberly H Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215046123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 076593 (New York) | Primary |
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. Kimberly H Fortin 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 |
Kimberly H Fortin, LCSW-R P.o. Box 1241, Weedsport, NY 13166 Ph: (315) 834-2014 | Kimberly H Fortin, LCSW-R 2693 East Brutus Street, Weedsport, NY 13166 Ph: (315) 834-2014 |
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