Dr Tina Bly, PHD is a
Student In An Organized Health Care Education/training Program based in Bennington, Vermont. Dr Tina Bly is licensed to practice in Vermont (license number 097.0136784) and her current practice location is
168 North St, Bennington, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 342-4636.
NPI number for Dr Tina Bly is 1518823772 and her current mailing address is 168 North St, Bennington, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518823772.
Healthcare Provider's Profile
| Full Name | Dr Tina Bly |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 168 North St, Bennington, Vermont |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518823772
- Provider Enumeration Date: 12/31/2025
- Last Update Date: 01/06/2026
Medical Identifiers
Medical identifiers for Dr Tina Bly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518823772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (Vermont) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 097.0136784 (Vermont) | Primary |
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 Tina Bly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Tina Bly, PHD 168 North St, Bennington, VT 05201-1874 Ph: (802) 342-4636 | Dr Tina Bly, PHD 168 North St, Bennington, VT 05201-1874 Ph: (802) 342-4636 |
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