Mrs Kaitlyn Amanda Fetter, LLBSW is a medicare enrolled "Social Worker - Clinical" provider in Novi, Michigan. Her current practice location is
30980 Westgate Blvd., Apt. 56, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 597-7500.
Mrs Kaitlyn Amanda Fetter is licensed to practice in Michigan (license number 6801108375) 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 1568992956.
Healthcare Provider's Profile
Full Name | Mrs Kaitlyn Amanda Fetter |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 30980 Westgate Blvd., Novi, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568992956
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961877519
- Enrollment ID: I20230412001946
Medical Identifiers
Medical identifiers for Mrs Kaitlyn Amanda Fetter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568992956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-04077 (Michigan) | Secondary |
104100000X | Social Worker | 6802088649 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801108375 (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. Mrs Kaitlyn Amanda Fetter allows following entities to bill medicare on her behalf.
Entity Name | Richard Kneip, Ph.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086 |
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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. Mrs Kaitlyn Amanda Fetter 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 |
Mrs Kaitlyn Amanda Fetter, LLBSW 30980 Westgate Blvd., Apt. 56, Novi, MI 48377 Ph: (810) 597-7500 | Mrs Kaitlyn Amanda Fetter, LLBSW 30980 Westgate Blvd., Apt. 56, Novi, MI 48377 Ph: (810) 597-7500 |
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