Kim Ann Fatato, LMSW - Medicare Clinical Social Worker in Portage, MI

Kim Ann Fatato, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Portage, Michigan. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Pine Rest Christian Mental Health Services and her current practice location is 4539 Pinefield Ave, Portage, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 209-2491.

Kim Ann Fatato is licensed to practice in Michigan (license number 6801087444) 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 1477764660.

Contact Information

Kim Ann Fatato, LMSW
4539 Pinefield Ave,
Portage, MI 49024-3021
(269) 209-2491
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKim Ann Fatato
GenderFemale
SpecialityClinical Social Worker
Experience22 Years
Location4539 Pinefield Ave, Portage, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim Ann Fatato graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1477764660
  • Provider Enumeration Date: 05/27/2007
  • Last Update Date: 11/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3779916242
  • Enrollment ID: I20191214000323

Medical Identifiers

Medical identifiers for Kim Ann Fatato such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477764660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801087444 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pine Rest Christian Mental Health Services4981506508297

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. Kim Ann Fatato allows following entities to bill medicare on her behalf.
Entity NamePine Rest Christian Mental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922019157
PECOS PAC ID: 4981506508
Enrollment ID: O20040123000787

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. Kim Ann Fatato 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
Kim Ann Fatato, LMSW
4539 Pinefield Ave,
Portage, MI 49024-3021

Ph: (269) 209-2491
Kim Ann Fatato, LMSW
4539 Pinefield Ave,
Portage, MI 49024-3021

Ph: (269) 209-2491

Reviews and Comments


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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.