Mrs Evelyn Ann O Leary Bennett, RN LCPC is a
Registered Nurse - Rehabilitation based in Missoula, Montana. Mrs Evelyn Ann O Leary Bennett is licensed to practice in Montana (license number 09268) and her current practice location is
127 N Higgins Ave Rm 206, Missoula, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 549-2625.
NPI number for Mrs Evelyn Ann O Leary Bennett is 1043398571 and her current mailing address is 127 N Higgins Ave Rm 206, Missoula, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043398571.
Healthcare Provider's Profile
| Full Name | Mrs Evelyn Ann O Leary Bennett |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Rehabilitation |
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| Location | 127 N Higgins Ave Rm 206, Missoula, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043398571
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Evelyn Ann O Leary Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043398571 | NPI | - | NPPES |
| 0253657 | Medicaid | MT | |
| 13005657 | Other | MT | MT ST FUND PAYEE |
| 74903 | Other | MT | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 484LCPC (Montana) | Primary |
| 163WR0400X | Registered Nurse - Rehabilitation | 09268 (Montana) | 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. Mrs Evelyn Ann O Leary Bennett 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 |
|---|
Mrs Evelyn Ann O Leary Bennett, RN LCPC
127 N Higgins Ave Rm 206,
Missoula, MT 59802-4457
Ph: (406) 549-2625 | Mrs Evelyn Ann O Leary Bennett, RN LCPC
127 N Higgins Ave Rm 206,
Missoula, MT 59802-4457
Ph: (406) 549-2625 |
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