Dr Nicholas Keith Bennett, PSYD is a medicare enrolled "Psychologist" provider in Santa Paula, California. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Redwood Psychology Center Inc and his current practice location is
2035 N Pump House Ln, Santa Paula, California. You can reach out to his office (for appointments etc.) via phone at
(805) 203-6673.
Dr Nicholas Keith Bennett is licensed to practice in California (license number PSY33288) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508325903.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Keith Bennett |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 5 Years |
|---|
| Location | 2035 N Pump House Ln, Santa Paula, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Nicholas Keith Bennett graduated from medical school in 2019
NPI Data:
- NPI Number: 1508325903
- Provider Enumeration Date: 03/15/2019
- Last Update Date: 10/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507243094
- Enrollment ID: I20220523002276
Medical Identifiers
Medical identifiers for Dr Nicholas Keith Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508325903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY33288 (California) | Primary |
| 103T00000X | Psychologist | 1336 (West Virginia) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | PSY33288 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY33288 (California) | Secondary |
| 103TC1900X | Psychologist - Counseling | PSY33288 (California) | Secondary |
| 103TC1900X | Psychologist - Counseling | (West Virginia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Redwood Psychology Center Inc | 2062880487 | 5 |
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. Dr Nicholas Keith Bennett allows following entities to bill medicare on his behalf.
| Entity Name | Redwood Psychology Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629196290
PECOS PAC ID: 2062880487
Enrollment ID: O20221116001129 |
|---|
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. Dr Nicholas Keith Bennett 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 |
|---|
Dr Nicholas Keith Bennett, PSYD
2035 N Pump House Ln,
Santa Paula, CA 93060-8022
Ph: (805) 203-6673 | Dr Nicholas Keith Bennett, PSYD
2035 N Pump House Ln,
Santa Paula, CA 93060-8022
Ph: (805) 203-6673 |
Reviews and Comments