Mrs Kaitlyn Amanda Fetter, LLBSW is a medicare enrolled "Social Worker - Clinical" provider in Novi, Michigan. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Richard Kneip Phd Pc and 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
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 1568992956.
Healthcare Provider's Profile
| Full Name | Mrs Kaitlyn Amanda Fetter |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 8 Years |
|---|
| Location | 30980 Westgate Blvd., Novi, Michigan |
|---|
| 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:
- Mrs Kaitlyn Amanda Fetter graduated from medical school in 2018
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Richard Kneip Phd Pc | 4880768415 | 216 |
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 Phd Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1679739700
PECOS PAC ID: 4880768415
Enrollment ID: O20080731000086 |
|---|
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 |
Reviews and Comments