Katherine Lynn Fontichiaro, MD - Medicare Dermatology in Ann Arbor, MI

Katherine Lynn Fontichiaro, MD is a medicare enrolled "Dermatology" physician in Ann Arbor, Michigan. She went to Wayne State University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dermatology Specialists Of Ann Arbor Pllc and her current practice location is 4200 Whitehall Dr Ste 250, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 677-3376.

Katherine Lynn Fontichiaro is licensed to practice in Michigan (license number 4301105378) 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 1134546021.

Contact Information

Katherine Lynn Fontichiaro, MD
4200 Whitehall Dr Ste 250,
Ann Arbor, MI 48105-9694
(734) 677-3376
(734) 527-3229



Physician's Profile

Full NameKatherine Lynn Fontichiaro
GenderFemale
SpecialityDermatology
Experience10 Years
Location4200 Whitehall Dr Ste 250, Ann Arbor, 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:
  • Katherine Lynn Fontichiaro attended and graduated from Wayne State University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1134546021
  • Provider Enumeration Date: 03/28/2014
  • Last Update Date: 11/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6800011891
  • Enrollment ID: I20180926003139

Medical Identifiers

Medical identifiers for Katherine Lynn Fontichiaro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134546021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 4301105378 (Michigan)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Mercy HospitalAnn arbor, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermatology Specialists Of Ann Arbor Pllc98305746727

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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. Katherine Lynn Fontichiaro allows following entities to bill medicare on her behalf.
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355

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Entity NameDermatology Specialists Of Ann Arbor Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689306680
PECOS PAC ID: 9830574672
Enrollment ID: O20220915001261

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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. Katherine Lynn Fontichiaro 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
Katherine Lynn Fontichiaro, MD
24 Frank Lloyd Wright Dr Lbby J2000,
Ann Arbor, MI 48105-9484

Ph: () -
Katherine Lynn Fontichiaro, MD
4200 Whitehall Dr Ste 250,
Ann Arbor, MI 48105-9694

Ph: (734) 677-3376

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Dermatology Doctors in Ann Arbor, MI

Yolanda Rosi Helfrich, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Dr. Jessica Marie Ghaferi, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3131 S State St Ste 309, Ann Arbor, MI 48108
Phone: 503-906-7300    Fax: 503-245-8219
Dr. Alexandra Cappiello Hristov, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109
Phone: 800-862-7284    
Dr. Frank Wang, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E. Medical Ctr Dr, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109
Phone: 734-936-4054    
Dr. Susan Riggs Runge, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 East Medical Center Drive, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109
Phone: 734-936-4054    
Mrs. Grace Ann Hile, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Dr. Charles Norman Ellis, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 East Medical Center Dr, 1st Floor Taubman Ctr Recp B, Ann Arbor, MI 48109
Phone: 734-936-4054    

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