Kiki Shawn Wato, LCSW in Shiprock, NM - Medicare Social Worker Provider

Kiki Shawn Wato, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Shiprock, New Mexico. His current practice location is Us Hwy 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6001.

Kiki Shawn Wato is licensed to practice in New Mexico (license number C-10805) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689127565.

Contact Information

	Kiki Shawn Wato, LCSW
	Us Hwy 491 North, Shiprock, NM 87420
	(505) 368-6001
	(505) 368-7319

Map and Direction

Healthcare Provider's Profile

Full Name	Kiki Shawn Wato
Gender	Male
Speciality	Social Worker - Clinical
Location	Us Hwy 491 North, Shiprock, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689127565
Provider Enumeration Date: 07/27/2016
Last Update Date: 05/18/2021

Medicare PECOS Information:

PECOS PAC ID: 8527347129
Enrollment ID: I20161123000931

Medical Identifiers

Medical identifiers for Kiki Shawn Wato such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689127565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C-10805 (New Mexico)	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. Kiki Shawn Wato allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

Entity Name	Dhhs Phs Naihs Crownpoint Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393

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. Kiki Shawn Wato 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
Kiki Shawn Wato, LCSW Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001	Kiki Shawn Wato, LCSW Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001

Reviews and Comments

Social Worker in Shiprock, NM

Zelda Gail Garcia, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001
Lillie L Reed, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Rd, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Charleton M Charleston, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001
Amber N Redhouse, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001
Pamela Bryan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-7301
Lewis B Talk, MSW LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Tamara S Peshlakai, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-6114

Kiki Shawn Wato, LCSW - Medicare Clinical Social Worker in Shiprock, NM