Mrs Kathleen Fenno Mcnulty, LCSW - Medicare Clinical Social Worker in Racine, WI

Mrs Kathleen Fenno Mcnulty, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Racine, Wisconsin. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Wheaton Franciscan Medical Group Inc and her current practice location is 1220 Mound Ave, Suite 301, Racine, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 633-3591.

Mrs Kathleen Fenno Mcnulty is licensed to practice in Wisconsin (license number 7210-123) 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 1023027414.

Contact Information

Mrs Kathleen Fenno Mcnulty, LCSW
1220 Mound Ave, Suite 301,
Racine, WI 53404-3350
(262) 633-3591
(262) 633-2619



Healthcare Provider's Profile

Full NameMrs Kathleen Fenno Mcnulty
GenderFemale
SpecialityClinical Social Worker
Experience23 Years
Location1220 Mound Ave, Racine, Wisconsin
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:
  • Mrs Kathleen Fenno Mcnulty graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1023027414
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0648305276
  • Enrollment ID: I20100320000258

Medical Identifiers

Medical identifiers for Mrs Kathleen Fenno Mcnulty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023027414NPI-NPPES
40984300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7210-123 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension All Saints HospitalRacine, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wheaton Franciscan Medical Group Inc8628980943594

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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 Kathleen Fenno Mcnulty allows following entities to bill medicare on her behalf.
Entity NameAscension All Saints Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639123284
PECOS PAC ID: 4880504935
Enrollment ID: O20031104000055

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Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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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 Kathleen Fenno Mcnulty 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
Mrs Kathleen Fenno Mcnulty, LCSW
1220 Mound Ave, Suite 301,
Racine, WI 53404-3350

Ph: (262) 633-3591
Mrs Kathleen Fenno Mcnulty, LCSW
1220 Mound Ave, Suite 301,
Racine, WI 53404-3350

Ph: (262) 633-3591

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Social Worker in Racine, WI

Mary Monica Weber, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Mound Ave, Ste 301, Racine, WI 53404
Phone: 262-633-3591    Fax: 262-633-2619
Jack A Plate, LCSW,LMFT
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4810 Northwestern Ave, Racine, WI 53406
Phone: 262-637-9984    Fax: 262-637-9995
John Tate Ii, APSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 420 7th St, Racine, WI 53403
Phone: 262-634-2391    
Sara Aranda, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 937 Hayes Ave, Racine, WI 53405
Phone: 262-744-9110    
Stephanie B Hanson, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1244 Wisconsin Ave, Suite 303, Racine, WI 53403
Phone: 262-635-5520    Fax: 262-635-5530
Carole Ann Della Pia, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6233 Durand Ave, Suite F, Racine, WI 53406
Phone: 262-554-8165    Fax: 262-554-8165

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